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The non-negotiables are strict broad-spectrum SPF 30 or higher daily, conservative initial cadence (start with monthly rather than bi-weekly), patch testing on the jawline first, and avoidance during active flare
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Why where you get your B12 still matters A B12 shot is simple but simple isnt the same as skip the medicine. The value is in the judgment around it: Choosing the right form (we favor bioactive methylcobalamin ), setting a sensible loading-then-maintenance schedule, screening your medications and diet, and recognizing when your symptoms point to something a vitamin wont fix
Metabolic pathways: B12 is a cofactor in two critical reactions: Methylmalonyl-CoA mutase: Converts methylmalonyl CoA (from odd-chain fatty acids and some amino acids) into succinyl-CoA, which enters the Krebs (TCA) cycle to make ATP (cellular energy)
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