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Tran may recommend laboratory testing to measure your vitamin B12 levels, along with related markers like methylmalonic acid and homocysteine

Click here for SDS Active Ingredients: Each mL contains: Cyanocobalamin (B12) 3,000 mcg Sodium chloride 0.9% w/v Ammonium sulfate 0.1% w/v Citric acid 0.01% w/v Sodium citrate 0.008% w/v Benzyl alcohol (preservative) 1.5% v/v Indications: For use as an aid in the management of vitamin B12 deficiencies in horses, dogs and cats

Journal of the Royal Society of Medicine , 97 (9), 443-443.

Cutting dose by 50% while maintaining daily frequency still provides daily exogenous signaling, which doesn't address receptor desensitization