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His blood pressure was stable, but the decision was made to reduce the dose and continue close follow-up

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In a randomized, double-blind and controlled trial, 90 patients supplemented with Que twice daily for 12 weeks showed significantly higher erythrocyte levels but evidently lower mean erythrocyte volume and hemoglobin, as well as ferritin compared to controls (77)

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a long time difference between the start of vitamin B 12 supplementation and the appearance of measurable benefits

Unless you have severe deficiency requiring medical intervention, sublingual spray is the smarter, more sustainable choice