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Suggested starting points to discuss with your clinician Deficiency without malabsorption: 1,0002,000 mcg oral cyanocobalamin daily until normalized, then weekly or monthly maintenance per labs (AAFP)

It can assist in maintaining a healthy metabolism, which may help with weight management and overall vitality

You may receive multiple IM vitamin shots per day, which will be administered in different injection sites

Some community members are running this sequence deliberately: start with NAD+ precursors (NMN/NR) to raise the baseline pool, then add MOTS-C to put that pool to work, then layer in 5-Amino-1MQ to block the pathway that drains it

Additionally, the microbiomes in these treatment groups were compared to both age-matched lean and obese controls