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If you do have decreased kidney function and your doctor recommends methylcobalamin, you may need a much higher dose because its less stable, so be sure to ask them about whats best given your condition

Krimpenfort P, Berns A (March 2017)

Such measures remove the need for long-term administration of vitamin B12

However: Avoid stacking MK-677 with injectable secretagogues this is usually redundant and may increase side effects

A single-center, double-blinded, randomized controlled study to evaluate the relative efficacy of sublingual and oral vitamin B-complex administration in reducing total serum homocysteine levels