One more LCD note: corticosteroids arent FDA-approved for epidural injection, per the FDAs 2014 epidural corticosteroid safety communication
Appetite Effects The question about appetite is interesting because the proposed mechanism could reasonably go either direction: Reduced lipogenesis and improved metabolic flexibility could produce secondary effects on appetite regulation NAD+ restoration has complex effects on hypothalamic appetite signaling Preclinical data do not consistently describe dramatic appetite changes In human use were it to become clinically available patient-reported appetite effects would be a relevant monitoring parameter, but the data do not currently support a strong a priori expectation
If so, you may have a damaged nervous system that affects the way you walk, move and keep your balance
Studies show this affects up to 20% of older adults
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So if you took B12 and felt worse, and your blood B12 is elevated, and you have a constellation of symptoms across multiple systems that's three signals pointing toward MCAS as worth ruling out
