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For dietary B12 deficiency without malabsorption, oral cyanocobalamin may be an appropriate alternative to injections

Puerarin can ameliorate mitochondrial damage to inhibit cadminum-induced TEC apoptosis in kidney (Song et al., 2016)

10.2174/0929867311320180004 Curr

Additionally, elevated 3-hydroxybutyrate an important ketone bodyin EP, may indicate enhanced ketogenesis, likely serving as an alternative energy source in the context of increased energy demands or mitochondrial dysfunction 22

Keep in mind that each patient is unique, and your results may vary

Here is what you can generally expect after your first injection, from the early hours to the longer-term changes that take more time to show up