Which means in those disease states, and aging, this metabolic leak gets worse
Loss of appetite
Chandys hypothesis, that the rapid onset of the repairing processes induced by B12 shots might overwhelm the system and temporarily cause a worsening in symptoms, similar to the Jarisch-Herxheimer reaction in those treated for Lyme disease
Its suggested dosage for the injectable, on the other hand, is at 0.25ml once daily for only 20 days
This phenomenon is relatively common and can manifest through neurological and hematological disorders
This will require an element of transparency and patient consent . Now, this again is the main reason to realize that in trying to diagnose B12 deficiency, as mentioned earlier, you can only make ONE first impression