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The chemical name is -(5,6-dimethylbenzimidazoly) hydroxocobamide

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A reasonable titration schedule might look like this: Week 1: 200mcg once daily Week 2: 300mcg once daily Week 3 onward: 300-500mcg based on response and tolerance Optimizing injection technique Poor injection technique contributes to injection site reactions and potentially to other effects like nausea from anxiety around the process

May look like hives or a contact dermatitis patch

These medicines include certain heartburn medications, proton pump inhibitors, diabetes medications (such as Metaformin), and H2 blockers