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Some people feel a boost in energy within hours, while for others, it builds gradually over a few days

Injection Timing Community protocols strongly favor fasted morning injection
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This suggests that B12 has an influence over our circadian rhythm, however researchers are yet to determine the exact connection
Zhuang W, Lian G, Huang B, Du A, Xiao G, Gong J, et al
Failing the test or refusing it can lead to immediate penalties