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I began heme iron supplements (Three Arrows) that I read about on this site and the effect has been quite dramatic, along with B12 EOD

These are considered two of the bioactive forms of B12, and they work well for many

Mechanism of Action: The vaccine contains recombinant hepatitis B surface antigen (HBsAg) that stimulates the immune system to produce antibodies, providing protective immunity

Elevated mean cell volume (MCV) and homocysteine levels may indicate a vitamin B12 deficiency

A 20 mg vial becomes more practical at higher maintenance doses (8-12 mg/week) where a 10 mg vial would be consumed in one to two sessions