b12 injections and als Sandoz Vitamin Injectable Solution Methylcobalamin/B12 injections may slow ALS

A rare but clinically significant manifestation is pseudo-thrombotic microangiopathy (PTMA), which closely resembles true thrombotic thrombocytopenic purpura (TTP), characterized by hemolytic anemia, thrombocytopenia, the presence of schistocytes, and elevated lactate dehydrogenase (LDH) levels [2]

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Patients may notice reduced fatigue and improved wellbeing within two to four weeks, whilst macrocytic anaemia typically resolves over six to eight weeks

But it seems cumbersome in comparison to the "in the water sack" technique below