Add methylmalonic acid if B12 levels are borderline
Levels of urea in the blood, a waste product from the bodys use of protein that should be eliminated by the kidneys, also dropped as did weight gain, largely from retaining urine, which also can occur with kidney disease
So, we recommend using SL vitamin B12 rather than oral and IM, especially in patients who do not tolerate IM injection and patients who need prolonged vitamin B12 supplementation, such as patients with long-term metformin use and patients with pernicious anemia or with gastro-duodenal resection [51,52,53,54]
Injecting a contaminated or degraded medication can cause injection site reactions, reduced effectiveness, or worse
doi: 10.1039/B817061D 222 PughC
59 NO can reversibly inhibit mitochondrial respiration at complex IV, whereas the more damaging peroxynitrite can permanently inactivate complexes I, III and V