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Follow-up labs usually confirm resolution within a few months, though patients with recurring symptoms may eventually switch to methylcobalamin for its additional cellular benefits

Medications including metformin, proton pump inhibitors, and H2-receptor antagonists may reduce absorption of B12, potentially prolonging the time to clinical improvement

Most clients describe the sensation as a slight pinch over in seconds

The vitamin B12 that I use is preservative free and highly absorbable methylcobalamin

If you do have decreased kidney function and your doctor recommends methylcobalamin, you may need a much higher dose because its less stable, so be sure to ask them about whats best given your condition