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No adverse fetal effects have been documented from normal therapeutic doses of hydroxocobalamin in human pregnancies

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generally considered to offer the most reliable bioavailability Nasal spray less invasive, though bioavailability may be lower than injectable forms Sublingual tablets a convenient oral-adjacent option with variable absorption General dosage considerations Research protocols have typically explored dosages in the range of 100 to 500 micrograms per administration

But those studies, McGuire says, dont have a lot of evidence behind them, and if you look on Reddit or other places where people are talking about it, he says, it appears that most people are recommending repeated doses