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That was peripheral neuropathy
Gene expression profiling showed upregulation of fatty acid oxidation genes including CPT1A and ACADM, indicating a metabolic shift from lipid storage toward lipid utilization
Its important to remember that while B12 injections can address fatigue related to deficiency, they are not a universal solution for tiredness caused by other medical or lifestyle factors
[13] Chloramphenicol has been shown to blunt reticulocyte response to cyanocobalamin, while ethanol, colchicine, and nitrous oxide interfere with cobalamin metabolism or utilization, each warranting clinician awareness when evaluating suboptimal treatment outcomes
