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Vitamin B12 Deficiency and the Nervous System: Beyond Metabolic DecompensationComparing Biological Models and Gaining New Insights into Molecular and Cellular Mechanisms

Choline and inositol play physiological roles in lipid transport, but administering supraphysiological doses via injection has not been proven superior to dietary intake or oral supplementation

Just be aware that there is high altitude (in Puno and Cusco) and some walking involved

Certain groups are at higher risk, including older adults (due to reduced stomach acid production), individuals with pernicious anaemia (an autoimmune condition affecting B12 absorption), those who have undergone gastrointestinal surgery, and people with conditions such as Crohn's disease or coeliac disease

AOD-9604 Dosing AOD-9604 is administered as a daily subcutaneous injection