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For digestive issues, symptom scores, inflammatory markers, and potentially repeat endoscopy or permeability testing help assess response

Unfortunately, it may not be possible on gloomy days or if you live in Northern states or colder countries to meet your daily sunshine requirements

If you still dont have an improvement in your symptoms on sublingual B12 then consider using methylcobalamin injections

Loss of NAD + levels results in impairment of mitochondria function, which leads to failure of essential metabolic processes (Reid et al., 2018)

B12 shots are generally safe as long as proper precautions are taken for the injections

Drug interactions with methyl-donor-sensitive medications are theoretical, not confirmed