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Vitamin B12 injections work by directly replenishing depleted cobalamin stores, supporting two crucial enzymatic processes: methionine synthesis for nerve myelination and methylmalonyl-CoA conversion for energy production

For example, if a weekly injection on Monday was missed, it could be given on Tuesday and then resume the normal schedule

PHYSIOLOGICAL CONSEQUENCES Manipulating GH, IGF 1, inflammatory signalling, or mitochondrial pathways is not benign

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