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Heres what Id do if I were you: Ask your doctor to test for these genetic variants (you might have to push for this) Use those results to figure out if you need more B12 than the standard dose Track your B12 and homocysteine levels monthly for three months to see if its working Adjust as needed based on how you actually feel When Your Cells Just Wont Cooperate Even when you bypass your gut completely with shots, your cells still need help getting that B12 inside where it can do its job

Adler et al., 1983

Traditional 503A compounding refers to when a licensed pharmacist or physician combines, mixes, or alters the ingredients of a drug to produce a custom medication that meets the needs of an individual patient (Lisi, 2021

It is predicted by markers like IL-6, TNF-, and CRP