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Further, cyanocobalamin and hydroxocobalamin are available by prescription in an injectable form to treat pernicious anemia, and cyanocobalamin is available as a prescription nasal spray

Managing this requires slower dose escalation, adequate hydration, soluble fiber intake, and sometimes bile acid sequestrants like cholestyramine, prescribed by your medical team

The red color is actually reassuring once you understand it

Those first weeks and months are when your body changes the most, and they set the pattern for everything that follows, which is why a baseline reading and frequent analysis through the early months matter so much, while you can still see how your body is responding in real time