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*Correspondence: Weina Li, [email protected] Meng Li, [email protected] These authors have contributed equally to this work This article was submitted to Drug Metabolism and Transport, a section of the journal Frontiers in Pharmacology Disclaimer All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers

It is gentler but is only appropriate where a clinician has advised the subcutaneous route

Vitamin B12 Fatigue

The Solution: Follow structured cycling (8-12 weeks on, 4-6 weeks off) to maintain sensitivity and effectiveness across multiple cycles