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All treatments are available only if deemed appropriate by a licensed medical professional following an online consultation

Prinz P, Teuffel P, Lembke V, Kobelt P, Goebel-Stengel M, Hofmann T, et al

Most patients experience a staged response: improved energy and sleep within 1 week, reduced neuropathic pain by week 3-4, and enhanced cognitive function after 6-8 weeks

Importantly, functional B12 deficiency can sometimes coexist with high total B12 levels, especially in kidney disease, and may require additional testing with methylmalonic acid (MMA) or holotranscobalamin if deficiency is suspected clinically