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Your provider may suggest reducing your dosage gradually to help your body adjust without sudden changes in appetite

This modification is intended to improve its stability and absorption in the digestive system

Drinking water should contain less that 600mg/L sulfate/L for high concentrate diets, whereas 2,500 mg sulfate/L is acceptable with higher forage intake (NRC 2005.) Generally speaking, sulfur should not exceed 0.3% total diet dry matter

Measurement of serum methylmalonic acid should be used to confirm deficiency in asymptomatic high-risk patients with low-normal levels of vitamin B 12

B12 injections bypass digestion, ensuring faster and more effective absorption than pills