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Notably, 6mg and 8mg produced identical HRV averages (24ms), suggesting I had reached a floor effect

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During perimenopause, estrogen fluctuations can cause unpredictable hunger, mood changes, and energy swings

Hydroxocobalamin is the form the NHS uses because it lingers in the body longer than cyanocobalamin, and its pharmacology supports dosing intervals of up to three months once levels are stable