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She is a fellowship-trained behavioral neurologist with research experience in genetics, neuropathology, and neuropsychiatric symptoms in dementia
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When given by intramuscular injection, the dose bypasses the digestive tract and is absorbed reliably, which matters because dietary B12 absorption depends on stomach acid and a protein called intrinsic factor, both of which decline with age, medication and certain gut conditions
Blood work every 8-12 weeks during active treatment monitors metabolic markers including fasting glucose, HbA1c, lipid panel, kidney function, and liver enzymes
