The effects of our Vitamin B12 injections can be categorized into immediate, short-term, and long-term effects
Eur J Clin Nutr 71:97102 He X-B et al (2015) Vitamin C facilitates dopamine neuron differentiation in fetal midbrain through TET1- and JMJD3-dependent epigenetic control manner
Early haematological response begins with reticulocytosis (increased production of immature red blood cells) typically by day 3-4 of treatment , particularly with injectable forms, though the full resolution of symptoms may take several weeks to months
In view of a clear Vit B12 deficiency and/or HHcy and/or high MMA levels in a PwPD presetting with clinical signs of PN, a complete neurographic assessment and an extensive alternative-causes workup should be performed
The primary effect will be loss of the metabolic rate enhancement, though tirzepatide's appetite suppression remains intact
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