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Jackie Newgent, RDN , is a Los Angeles-based nutritionist, chef and author of The Plant-Based Diabetes Cookbook. Samantha Cassetty, MS, RD , is a nutrition and wellness expert, founder of Sams Plate and co-author of Sugar Shock.

Advanced Protocol Considerations Some researchers explore higher doses in the 2 to 5 mg daily range under medical supervision for more intensive skin remodeling needs

Allowing appetite to guide intake while prioritizing protein and nutrient density produces sustainable patterns

Avoid greasy, fried, or heavy meals, as they take longer to digest and can worsen nausea

Before reconstitution, make sure the PBS and product are at room temperature

Do not use in patients with known hypersensitivity to Hydroxocobalamin or cobalt