Therefore supplementation is needed
We are transparent about that distinction with every patient who asks about it
If you do continue a daily multivitamin, separate it from any interactions, for instance, dont take other vitamins at the exact same time as certain medications like tetracycline antibiotics (all B vitamins can bind with tetracycline in the gut and reduce its absorption)
In typical dietary doses, B12 is absorbed at a rate of about 40-50%
Unlike plain sterile water, which must be used immediately after opening due to contamination risk, bacteriostatic water is designed for multi-dose use, the benzyl alcohol inhibits microbial growth, allowing the vial to be accessed multiple times over a 28-day period while maintaining sterility
NFB (Nuclear Factor Kappa B) A master regulator of inflammation