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These include the competing effects of the formation of cobalamin-like molecules in our body (the so-called cobalamin analogues or pseudo-cobalamins), which may impair the proper action of the good cobalamin

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Some evidence suggests that taking it before the largest meal of the day may optimise the postprandial hormone response

If nausea is a concern, evening injection allows you to sleep through the initial wave

What to Expect by Week Window Days 1-3 Likely Pattern Most nausea and flushing happen here