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B12 is often added to IV therapy visits, and many patients schedule a B12 shot the week between their IV appointments

Why It Matters: Irregular timing creates fluctuating plasma levels, preventing stable NNMT inhibition and reducing overall effectiveness

Thank you very much, Michele

Internal Medicine Internal Medicine physician with 30+ years focused on metabolic health, nutrition, and deficiency management

The origins of these symptoms are unclear, but they may be related to the stomach inflammation underlying some cases of vitamin B 12 deficiency and to the progressive destruction of the lining of the stomach (21)