Vitamin B12 plays an important role in both DNA synthesis on a cellular level and neurologic function
For example, if you use tap water, or even filtered water, in a CPAP machine or ultrasonic or evaporative humidifier, it can cause scaling or promote the growth of bacteria
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It is uncommon for insurance to cover these treatments, but you can use your HSA
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For dietary deficiency in the absence of malabsorption, oral cyanocobalamin supplementation (50150 micrograms daily) may suffice, though compliance and absorption must be monitored