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Studies highlight its ability to expedite injury recovery, particularly in musculoskeletal soft tissues like the achilles tendon, by supporting tendon outgrowth and wound healing
The Practical Takeaway If you're having symptoms and your B12 is high, here's how to think about it: First, separate the two questions
The correct approach: Test serum B12, MMA, and homocysteine not just serum B12 Use the functional cutoff of 500 pg/mL for optimal status, not the labs lower limit of 200 pg/mL Identify the cause diet, malabsorption, medication, or autoimmune Match the supplementation protocol to the cause and severity Retest to confirm response, and continue monitoring if the underlying cause persists If youre over 50, vegan, taking metformin or PPIs, or experiencing unexplained fatigue, brain fog, or neuropathy get tested
While it requires focus and a steady hand, most patients find they become comfortable with the process after one or two tries
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