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Its primary mechanism involves activating the AMP-activated protein kinase (AMPK) pathway

Being water-soluble, the effects of vitamin B12 can take place immediately when administered through injections

Patients with Normal Intestinal Absorption Where the oral route is not deemed adequate, initial treatment similar to that for patients with pernicious anemia may be indicated depending on the severity of the deficiency

One concern is that, if pre-cancerous cells are already present, very high availability of growth-supporting nutrients such as B12 could, in theory, support their growth too

Like with any supplementation, it is important to follow professional guidance and monitor your response to the injections