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Oxidative stress plays a significant role in MS pathogenesis by inducing inflammation, demyelination, and neurodegeneration
Things Worth Discussing with Your Doctor: Baseline kidney function testing (eGFR and cystatin C) before starting B12 MTHFR genetic testing if you have a family history of kidney disease Comprehensive nutrient testing (magnesium, zinc, B6, folate) Homocysteine and methylmalonic acid baseline levels Regular urinalysis every 3-6 months if youre on high doses Advanced urine tests if youre high-risk Pulse dosing schedules based on your kidney function Optimal timing for taking supplements Creating Your Personal Approach Rather than following generic guidelines, its worth developing an individualized B12 strategy based on your kidney function, genetic factors, and how your body responds to supplementation
While most individuals obtain sufficient amounts of vitamin B12 through their diet, some individuals may require supplementation due to certain health conditions or lifestyle choices that can lead to vitamin B12 deficiency
