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If a dose is missed, it should be administered as soon as remembered if within five days of the scheduled dose

Never inject water directly onto the peptide powder

The authors concluded that due to the high prevalence of MTHFR variants and how crucial it is to assure pregnant women get adequate supplementation, L-methylfolate may be the best option to avoid blood folate deficiencies. The study also notes that excessive ingestion of folic acid could mask an undiagnosed B12 deficiency, and that it was unlikely that methylfolate would mask a B12 deficiency in the same way

The symptoms may be indicative of another problem that vitamin B-12 injections cant treat