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Decrease dose if: Experiencing consistent side effects (headaches, fatigue, GI disturbance), achieving satisfactory results at current dose with no need for escalation, or cost considerations favor using minimum effective dose
Dietary optimization, particularly for omnivorous athletes, might eliminate the need for any supplementation
Would you say to someone who eats meat and can absorb B12 (which a PA patient cant do because they have no intrinsic factor): Oh you cant eat meat to get your B12 until Monday even though you are B12 deficient on Friday? This is unreasonable
A positive change in your diet can provide an increase in natural B12 levels as well as a higher chance of weight loss
[DOI] [PubMed] [Google Scholar] 47.Tkalcevic V.I., Cuzic S., Brajsa K., Mildner B., Bokulic A., Situm K., Perovic D., Glojnaric I., Parnham M.J
Mittag et al., 2010
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