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Loading phase (deficiency): 1000 mcg IM or subQ daily or every other day for 1 to 2 weeks Maintenance: 1000 mcg monthly is a standard maintenance dose for conditions like pernicious anemia Wellness protocols: may use lower doses weekly, though this is less established clinically In ml: cyanocobalamin is typically supplied at 1000 mcg/ml, so a 1000 mcg dose equals 1 ml

First-pass hepatic metabolism degrades an unknown percentage of orally administered 5-Amino-1MQ before it reaches systemic circulation, introducing dosing variability that conflicts with controlled study design

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