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Whilst many symptoms improve with appropriate B12 treatment, not all resolve completely, especially if neurological damage was severe or prolonged before treatment commenced

Once you stop, the neurological feedback loop that was suppressed suddenly becomes active again

Notably, the pleiotropic effects of C15-carnitine in various diseases are significantly different from the traditionally recognized harmful effects of LCACs

Somwongin et al., 2018)

The subcutaneous route bypasses the digestive system entirely, allowing the drug to be absorbed directly into the systemic circulation via the tissue beneath the skin, ensuring predictable bioavailability and consistent therapeutic effect