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All handling should comply with standard laboratory safety and sterility practices

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However, effectiveness depends on adherence to lifestyle modifications, and medications work best as part of a comprehensive approach including nutritional counseling, behavioral support, and exercise programming rather than as a standalone rescue therapy

[1] [4] When B12 is deficient, myelin production is impaired, leading to demyelinationthe breakdown of this protective sheathwhich results in abnormal nerve signalling perceived as pain, tingling, or numbness

Skin, tendons, ligaments, and connective tissues all require constant collagen turnover