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Nackapan, If I understand correctly, you're saying that because a return of symptoms is experienced in a fairly short span of time without injections, this proves that someone with PA cannot utilize their stores of B12
If you feel "foggy," check your sleep and hydration first
You will need to start the new medication at its initial and lowest dose and titrate it every 4 weeks to reach a maintenance dose
This could improve muscle growth, fat loss, and recovery while keeping side effects lower
Its also worth noting that vegetarians may respond better to L-Carnitine supplementation, likely because of low dietary intake
In Warren MJ, Smith (eds.)
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