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When given intravenously, effects are seen within five minutes

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Reduce the dose by 50% or switch to twice-daily split dosing (e.g., 25mg morning and 25mg evening instead of 50mg once daily)

I am in US and after trying all forms I decided Hydroxocobalamin was the best for me

You should consult with a medical professional if you: Have had a previous severe allergic reaction to any medication Allergic to cobalt Have low levels of potassium Have an irregular or fast heart rate (arrhythmia) Pregnant or breastfeeding Have liver or kidney disease Undergoing chemotherapy or radiotherapy Q4) Are there any serious side effects

It can be administered by injection or oral form depending on the protocol