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We currently recommend either oral or parenteral cobalamin supplementation and the recommended protocol and dose for each route is as below

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May be repeated daily, if indicated

The American Academy of Family Physicians and NIH identify the following clinical manifestations: Fatigue and generalized weakness Megaloblastic anemia (abnormally large, immature red blood cells) Tingling or numbness in the hands and feet (peripheral neuropathy) Difficulty walking and balance problems Cognitive disturbances including memory difficulty and confusion Mood changes, including depression and irritability Glossitis (swollen, inflamed tongue) Early symptoms such as fatigue and mild tingling are often attributed to stress, aging, or other conditions

KPV pre-empts the inflammation switch (NF-B) before it activates, so reactive skin doesnt drown the rebuilding signals

Also Vitamins B1, B6 and B12 are nutrients known to play a vital role in promoting growth, energy protection in the body, good health and well-being