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"but I do find it weird that my B12 is nonexistent and yet my RBC, MCV, and MCH are normal." Low B12 can lead to enlarged red blood cells (macrocytosis)

Improved Cognitive Function B12 supports brain health and cognitive performance through several mechanisms: Maintains myelin sheaths that protect and insulate nerves Supports neurotransmitter production and regulation Enhances blood flow and oxygen delivery to the brain Reduces homocysteine levels (elevated levels are linked to cognitive decline) Many clients report better concentration, improved memory, and greater mental clarity after beginning B12 therapy

This is why patients report brighter, more even skin tone

Wang X, Liu X, Xiao R, Fang Y, Zhou F, Gu M, et al

Yes, Niacinamide and Salicylic Acid can be used together