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Deficiency in B12 can lead to demyelination, resulting in neurological symptoms such as numbness, tingling, impaired coordination, and cognitive decline

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By reinforcing this barrier, it prevents the translocation of luminal antigens and endotoxins into the bloodstream, a key pathological driver in many chronic inflammatory and autoimmune conditions

That longer action is part of why maintenance injections can be spaced months apart rather than weeks

I have never give injectable methyl B12