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Beyond diet, researchers have identified a pattern of elevated plasma homocysteine levels in South Asians, even when reported B12 intake appears adequate

Do not start, extend or repeat a course of I-vit 12 Injection on your own

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Chandys hypothesis, that the rapid onset of the repairing processes induced by B12 shots might overwhelm the system and temporarily cause a worsening in symptoms, similar to the Jarisch-Herxheimer reaction in those treated for Lyme disease

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MIC injections are cheaper and better tolerated but should not be presented as an equivalent alternative only as an option for patients who cannot or will not use GLP-1 therapy, with expectations set accordingly