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Hence, by targeting the enzymatic activity of SARM1, inhibitors may effectively prevent the depletion of NAD + , thereby maintaining cellular energy homeostasis and enhancing neuronal resilience, potentially expanding the treatment landscape for various neurological conditions

A provider-supervised taper or switch to oral B12 supplementation is a reasonable alternative if MIC B12 proves unsuitable

Appreciate anyones advice because this is all so new that I dont think doctors know what to advise