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Key accelerators of this breakdown include: Neuroinflammation: Cytokines from Lyme, Long COVID, or concussion damage synaptic connections.[5] Mitochondrial dysfunction: Energy factories in cells fail, starving muscles and brain of ATP.[6] Disrupted proprioception: The body loses its internal GPS, leading to imbalance and falls.[7] Sympathetic overdrive: Chronic fight-or-flight traps patients in pain/fatigue cycles.[8] Muscle atrophy: Inactivity after injury or illness causes rapid loss of strength and stability.[9] These create a vicious feedback loop

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The DEXTRO isomer (right-handed) contributes to the toxicity, but not the therapeutic effect so it has been removed in marketed preparations

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Vitamin B12 Injections For severe deficiency or absorption problems, intramuscular B12 injections may be required