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If the breakouts reduce, it may be something in the supplement

Immune Function: By supporting red blood cell production & oxygen flow, B12 for red blood cell production indirectly strengthens the immune system and helps the body respond more efficiently to stress or illness

Heart disease is currently the leading cause of death of Americans

High-dose oral therapy (10002000 micrograms daily) can effectively treat deficiency even in those with impaired intrinsic factor-mediated absorption, relying on passive diffusion

Only works a few months

Hydroxocobalamin regimen (UK example): 1 mg (1000 g) IM three times a week for 2 weeks (loading), then 1 mg every 3 months thereafter