These mechanisms support both functional repair and optimization of tissue architecture at a systemic level
However, the B12 itself can stay in your system longer, with effects on red blood cell production and nerve health lasting for weeks or months, depending on your deficiency and injection frequency
Which compound has fewer side effects
Risks of Refrigeration: If improperly sealed, condensation can form when taking the powder in and out of the fridge, introducing moisture
Serum B12 below 100 pmol/L post-RYGB: This is the scenario in which I am most conservative
Food Interactions: For Patients Taking MAO Inhibitors: Tyramine is a natural product of bacterial fermentation and is found in relatively high concentrations in several types of fermented foods such as red wine, strong or aged cheese, sausage, pepperoni, salami, pickled or smoked fish & yeast supplements (Andersen et al, 2019