If neurological symptoms worsen or fail to improve after four to six weeks of appropriate treatment , further investigation is necessary to exclude alternative diagnoses or complications
Standard medical dosing for confirmed deficiency typically involves an initial loading phase followed by maintenance
High-dose biotin, also known as vitamin B7, can affect assays that use a biotin and streptavidin binding step, and the direction of the error depends on the assay format, with competitive designs prone to falsely high results and sandwich designs to falsely low ones
That enzyme is NNMT, nicotinamide N-methyltransferase
If b12 comes back low, add supplementation
0,75 m und die breite Variante mit ca