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Other factors include: Underlying cause of deficiency : Pernicious anaemia, malabsorption disorders, or dietary insufficiency may affect treatment response Medication use : Metformin and proton pump inhibitors can reduce gastrointestinal B12 absorption (though this does not affect the efficacy of intramuscular injections) Individual variation : Differences in how efficiently your body utilises the injected vitamin Adherence to treatment schedule : Missing injections or delaying maintenance doses can slow recovery Discussing these factors with your healthcare provider helps set realistic expectations for your treatment journey
Sikiric, P., Seiwerth, S., Grabarevic, Z., et al
For competitive or endurance athletes facing tight recovery windows, this multi-nutrient approach accelerates the return to peak readiness
p = 0.023), specifically lower thalamus, putamen, caudate, and accumbens volume and with poorer scores on tests of non-verbal memory, motor skills and response time ( = -0.432+6.470;p = 0.012, = -0.364+3.855;p = 0.037, = -0.467+3.139;p = 0.006, respectively)
Therefore, even if MMA is normal, your child may still need Methyl B12, as it serves a different function
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