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Description
it starts at 2.5 mg once weekly and steps upward at approximately four-week intervals toward a maintenance target

It is not the only possible explanation, as plateaus happen , but storage should be one of the first things you investigate

Cobalamin is vital for many biological reactions in the body involving cell growth, protein synthesis, digestion and nutrient metabolism, production of red blood cells, and proper functioning of the brain and nervous system
The rationale for combination builds upon the documented mechanisms of each component