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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

You can also try taking over-the-counter medications such as antacids or anti-nausea medications

doi:10.2174/1389201019666180528094202 Wang L, Martinez V, Kimura H, Tache Y

If your current dose isnt working for you, have a real, honest conversation with your doctor about switching things up

Its valuable to talk with a clinician about your sleep

The normal dosage of pharmaceutical preparations (capsule or sachet) is approximately 10 CFUs