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Kronzer, K
Depending on the specific cobalamin, such IC may involve simultaneous elongation of both axial bonds (CNCbl), or detachment of axial base followed by corrin ring distortion (MeCbl)
For patients with gut malabsorption, whether due to a past surgery, Crohns disease, or other irregularities affecting vitamin B12 uptake, injections offer a much more efficient way to reach desirable vitamin B12 levels
MMA rises when there is not enough B12 in the mitochondria (the cells energy factories) to process fats and proteins so that they can be burnt as fuel for energy
If you already feel confident administering GLP-1 injections, discuss with your provider whether a SubQ B12 or NAD+ injection could fit into your personalized wellness plan