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Laboratories occasionally report it separately as active B12 or holotranscobalamin
Doctors might also need to adjust how much and how often to give it, based on each patients needs
Morrison, K
A 2019 randomized controlled trial of lipotropic injections (methionine, inositol, choline, B12) versus saline placebo in 120 participants on ad libitum diets found 0.8 kg (1.76 pounds) difference at 12 weeks, not statistically significant (p=0.18) (Karbalay-Doust et al., Journal of Research in Medical Sciences , 2019)
Int J Mol Sci
It is very difficult to balance symptoms and reactions but if you can live with the flushing I would recommend prioritizing the neurological synptoms Thanks, yes I thought that it would likely be better to prioritise the neuro symptoms although the flushing is driving me mad
