It gets injected under the skin, reaches cells quickly, inhibits NNMT (overactive in fat tissue), preserves more NAD+ for energy production, reduces fat storage, and encourages the body to burn fat as fuel
If B12 blood levels and MMA are both high, a functional B12 deficiency could be preventing B12 being useful at cell/tissue level
Detecting why someone has B12 deficiency, is through a combination of taking the patients history and doing further tests
However, no research directly compares continuous use versus cycling protocols (such as 12 weeks on, 4-8 weeks off), leaving optimal long-term strategies somewhat uncertain
Some people use B12 injections as a short-term boost during high-stress times, while others make them a regular part of their wellness routine