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NUROKIND OD INJECTION is not recommended for use in patients allergic to mecobalamin and/or other B12-containing medicines

In addition, many of the lifestyle interventions helpful for Hashimotos are also beneficial for the MTHFR variation

Free Radical Biology & Medicine, 49(11), 16031616

May be more useful info in pinned post "Various B12D/PA resources" on right of screen if on computer

For severe B12 deficiency that maybe causing significant neurological symptoms, your doctor may use injectable form of B12 initially before transitioning to oral therapy