With my own research (and this forum) I found out that that my three monthly B12 treatment was insufficient and was the cause of my megaloblastic anaemia
Types & Formulations Vitamin B12 Injections (IM/SC): Fast-acting relief for severe deficiencies and rapid energy boost (methylcobalamin, hydroxocobalamin, or cyanocobalamin)
This is achieved, in part, by modulating the expression of pro-angiogenic factors such as Vascular Endothelial Growth Factor (VEGF) and Fibroblast Growth Factor 2 (FGF-2)
Freezing (-20C / -4F): A Double-Edged Sword Now, this is where it gets interesting
B12 injections tend to be most useful for: Patients on GLP-1 medications (semaglutide, tirzepatide) who feel fatigue in early weeks Patients with low energy, brain fog, or mood symptoms Vegetarians or vegans (plant foods don't contain B12) Adults over 50 (B12 absorption drops with age) Patients who've had digestive surgeries (bariatric, gallbladder) that affect absorption They're generally safe B12 is water-soluble, so your body excretes what it doesn't use
Weve known for years that NAD+ therapy, administered via injection or IV, is an excellent way to replenish depleted NAD+
