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This protocol is generally considered for patients who: Have implemented and adhered to foundational diet and lifestyle changes for at least 6-12 months

Over time, however, there is always a certain amount of inactive cob(II)-cobalamin produced, which must be reactivated through methylation into methylcobalamin with the help of a special enzyme

People need to know what a standard drink size is as well as how much they can drink for their gender and weight before hitting the legal limit

doi: 10.1016/j.mam.2008.08.006 83 FossumC

Because it uses the active methylated form of B12 (methylcobalamin), it provides faster, more effective results than standard cyanocobalamin supplements