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The parenteral administration also halts the progression of neurological damage associated with B12 deficiency, but the complete improvement of the condition may depend on the severity and extent of the deficiency

It is used in the treatment and prevention of vitamin B12 deficiency in patients with conditions such as:_ Addisonian (pernicious) anemia Malabsorption Atrophic gastritis Prolonged treatment with metformin Small bowel bacterial overgrowth (SIBO) Total or partial gastrectomy Infection with the fish parasite Diphyllobothrium latum Helicobacter pylori infection Pancreatic dysfunction Pancreatic or bowel malignancy Dietary deficiency (e.g

Loading The Syringe Begin by gathering all the necessary supplies: the B12 solution, a syringe, a needle, alcohol swabs, and a sharps container

Because MOTS-c involves only 4 injections per cycle, rotate to a different quadrant of the abdomen with each dose to minimize localized tissue irritation

I do not order MMA as a routine test because it adds cost without changing management in most cases

Neurological symptoms may start improving within 12 weeks, but longstanding complications can require 36 months of treatment, with some damage potentially irreversible