The enzyme that transfers a methyl group from S-adenosylmethionine (SAM) to nicotinamide, producing 1-methylnicotinamide
This depends on your personal situation, how low your vitamin B12 levels are intracellularly, what kind of medical conditions you have, and how much improvement you get from the B12 shots
B12 deficiency is among the most common B-vitamin deficiencies because it is not naturally found in plant foods, and several health or lifestyle factors can reduce absorption
This can be caused by problems with metabolism (like high blood sugar), poor blood flow, toxins, or the immune system attacking the nerves
Your practitioner will review your symptoms, health history, and any existing test results to determine the most appropriate treatment protocol
Deeper treatments (1.0 mm and above) require 6 to 8 weeks between sessions for full healing