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Daily supplementation with Vitamin B12 Tablets is also an effective treatment for low vitamin B12 levels and may be more suitable for certain individuals

Injectable pyridoxine is usually administered IM or IV, though some formularies include SubQ as a possible route

Abbreviations ACE: Angiotensin-converting enzyme AMAG: Autoimmune metaplastic atrophic gastritis ANA: Antinuclear antibody CBC: Complete blood count CFS: Chronic fatigue syndrome CH50: Total complement activity CIS: Clinically isolated syndrome CSF: Cerebrospinal fluid CT: Computed tomography dsDNA: Double-stranded DNA ENA: Extractable nuclear antigen EMAG: Environmental metaplastic atrophic gastritis FLAIR: Fluid-attenuated inversion recovery HCV: Hepatitis C virus HIV/AIDS: Human immunodeficiency virus/acquired immunodeficiency syndrome IIF: Indirect immunofluorescence IV: Intravenous MCHC: Mean corpuscular hemoglobin concentration MCV: Mean corpuscular volume MDD: Major depressive disorder MMA: Methylmalonic acid MMSE: Mini-mental state examination MOG: Myelin oligodendrocyte glycoprotein MRI: Magnetic resonance imaging MRV: Magnetic resonance venography MS: Multiple sclerosis NMO: Neuromyelitis optica OCT: Optical coherence tomography PA: Pernicious anemia PCR: Polymerase chain reaction SCD: Subacute combined degeneration SLE: Systemic lupus erythematosus SNRI: Serotoninnorepinephrine reuptake inhibitor SS-A/Ro: Sjgrens syndrome antibody A SS-B/La: Sjgrens syndrome antibody B TPO: Thyroid peroxidase TSH: Thyroid-stimulating hormone UBOs: Unidentified bright objects References Mohamed M, Thio J, Thomas RS, Phillips J

Pantothenic acid and pantothenol increase biosynthesis of glutathione by boosting cell energetics