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That slowdown signals metabolic adaptation, and that is when a second agent with a different mechanism provides the most benefit

Neurologic symptoms The neurologic symptoms of vitamin B 12 deficiency are myriad and include numbness and tingling of the hands and, more commonly, the feet (peripheral neuropathy)

Essential metabolic can be impaired as a result of decreased mitochondrial activity brought on by low NAD+ levels

That is a conversation to have with your GP or a specialist haematologist, not a reason to add a private injection on top of an NHS schedule without telling either provider

cyanocobalamin is a specific, synthetic, and highly stable form of B12 commonly used in injections