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The elevated homocysteine creates further oxidative stress and neuroinflammation, which in turn damages the myelin sheath and worsens the cognitive dysfunction and neuropathy
doi: 10.1038/s41575-024-01035-7
However, the B12 itself can stay in your system longer, with effects on red blood cell production and nerve health lasting for weeks or months, depending on your deficiency and injection frequency
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