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You may also suffer from diabetic neuropathy due to a lack of vitamin B12

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The only time you should be taking 5,000 to 10,000 micrograms a week is if you are treating B12 deficiency

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This means a single 10mg vial can theoretically cover the first 12 to 13 weeks of a standard escalation protocol, using roughly 7mg through that period

Individuals at higher risk include older adults with reduced stomach acid production, people with gastrointestinal conditions affecting absorption, strict vegans, and those taking medications like metformin or proton pump inhibitors