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In particular, B12 is central to energy production and maintaining processes related to blood and the brain

For patients on these medications, high-dose oral supplementation or injections are clinically necessary to bypass the digestive blockade

This can be used during rebuilding or recovery phases especially after stress or a GLP-1 cycle to restore energy, endurance, and metabolic flexibility

The injections maintain stable blood levels for 48-72 hours, unlike oral supplements that produce peaks and troughs

In some cases, the drop in blood pressure occurs as a compensatory function following tachycardia, as seen in POTS, or bradycardia can precede a drop in blood pressure