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doi: 10.1007/s00198-019-05236-8

The clinical picture is the most important factor in assessing the significance of results of blood tests assessing cobalamin (B 12 ) status because there is no gold standard test to define deficiency Neurological symptoms resulting from B 12 deficiency may take several months or even years to resolve completely Measuring serum biomarkers such as B 12 or methylmalonic acid is neither helpful nor indicated in assessing or monitoring clinical improvement, neither is titration of injection frequency based on biomarker assessment Self-administration of intramuscular B 12 injections can lead to greater patient satisfaction and better health outcomes What is vitamin B 12

Several patents are available for drug delivery via the nasal route to either directly target the CNS, or by systemic transport of the drugs by the nasal route to target the CNS

Siddiqua, T

Quality Assurance & Purity Testing Guarantee We provide a purity testing guarantee for all batches of the TB500 & BPC-157 Blend 10mg

Liquids such as Why Not Natural Organic Vitamin B12, sublingual methylcobalamin, and hydroxocobalamin are typically the best options here