When comparing the different routes, the top-ranked route for increasing levels of vitamin B12 was the IM route, followed by the SL route
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DTI indicated disorganised WM in the ipsilateral corpus callosum, corroborated by myelin basic protein (MBP) analysis, with increased CD68+/MBP+ colocalisation suggesting microglial/macrophage-mediated myelin phagocytosis
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Brecka also points to the value of blood work and biomarkers when deciding what type of nutritional support may be helpful