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Rather than starting at 500mcg, consider beginning at 200-250mcg for the first week

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Symptoms of deficiency include fatigue, weakness, neurological problems (such as paraesthesia, balance difficulties, and cognitive impairment), and megaloblastic anaemia

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Institutional protocols often start at 50mg daily for two weeks, then escalate to 75100mg based on tolerance and objective metabolic markers like NAD+ levels and urinary methylnicotinamide excretion

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The organ that is most affected by B12 deficiency is the nervous system and brain

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D50.0 is iron deficiency anemia from chronic blood loss over weeks or months

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