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Description

Hydroxycobalamin is a precursor form of vitamin B 12 converted in the body's to both methylcobalamin and adenosylcobalamin

doi:10.2174/1574886309666140605114614 Ferri: Ferri's Clinical Advisor 2013, 1st ed

Options for managing tolerance include a brief dose reduction for 4 to 8 weeks ("drug holiday" at a lower dose, not complete cessation), lifestyle optimization to maximize the medication effect, evaluation for other contributing factors (thyroid function, cortisol, sleep quality, medication interactions), and consideration of adding a complementary compound to address specific aspects of the plateau