However, many MCAS patients are highly sensitive to standard methylated B12 (methylcobalamin), which can trigger severe symptom flares
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Some people notice mild soreness at the injection site, which typically resolves within a day
If left untreated, it can also lead to neurological damage
These methylation reactions are required to form the fatty myelin sheath around nerve cells that speeds up nerve conduction
Lifestyle Choices You are also significantly more likely to suffer from B12 deficiency if you practice a vegan diet and lifestyle