Once reconstituted, store refrigerated and use within appropriate timeframes
Some people, particularly those who were severely deficient, report a sudden improvement in energy, focus, or mood within 24 to 72 hours
For some people these changes are among the first noticeable signs, though mood symptoms can have many causes and should be evaluated by a professional
According to the NIH Office of Dietary Supplements, functional B12 deficiency is most commonly seen in patients with one or more of the following: Age over 50 stomach acid production declines with age, and stomach acid is required to free B12 from food PPI or H2 blocker use reflux medications suppress the acid needed for B12 absorption Metformin use, which interferes with B12 absorption directly Vegan or vegetarian diets B12 is found almost exclusively in animal products Gut conditions including celiac, IBS, SIBO, and Crohns MTHFR mutations that affect how B12 is metabolized once absorbed Heavy alcohol use The symptoms of low B12 are easy to dismiss: fatigue, brain fog, low mood, tingling in the hands or feet, weakness, and shortness of breath on mild exertion
There may be a minor advantage for Dysport kicking in quicker, but Botox probably lasts a little longer
They help combat tiredness and support overall vitality.