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Succinyl-CoA also is required for hemoglobin synthesis.2,4 B12 digestion and absorption requires the adequate synthesis of hydrochloric acid, proteases (enzymes that break down proteins and peptides), and intrinsic factor (a glycoprotein secreted in the stomach)

Interference with any of these steps can lead to a state of vitamin B-12 deficiency, and thus deficiency of this vitamin is multicausal

Ongoing Support: We monitor your response and adjust your treatment plan as needed to ensure long-term success

However, we need more research in this area to figure out exactly how each substance contributes to the overall result

During the early escalation phase at 0.25mg, you are drawing very small volumes regardless of concentration

A review of B12 studies for neuropathic pain found positive results