It is converted to coenzyme B12 in the body and in this form facilitates the conversion of homocysteine to methionine (methylcobalamin) and plays an important role in converting methylmalonyl-coenzyme A to succinyl-Co-A (fatty acid and amino acid metabolism)
Injections of B6 may also be given to patients with impaired gastrointestinal absorption
Some protocols combine both, aiming to support both endocrine optimization and local tissue repair
The significance of this suggests (but does not necessarily confirm) an unhealthy bowel population is present and has overgrown and is either elaborating material that is inflaming the pancreas or has actually invaded the pancreas
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Here, lower maintenance doses of 3-5 mg, three times per week, sustained over months and cycled appropriately, may be more aligned with the goal than high-frequency maximum doses