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Secondly, it enhances the immune response through the activity of leukocytes, including neutrophils and macrophages, which combat infections, phagocytose pathogens, and regulate inflammatory processes

Most providers recommend baseline bloodwork before starting treatment, followed by periodic checks every 3-6 months

Current treatment guidelines support the use of methylcobalamin (MC), a methylated derivative of vitamin B 12 which also demonstrates efficacy in improving nerve conduction and reducing neuropathic pain 9 , but thus far, the clinical value of MC has not been studied in comparison to ALC