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The shared molecular binding of the brains vitamin B 12 carrier protein, known as transcobalamin 2 or TCN2, with the FDA-approved MS drug fingolimod provides a mechanistic link between B 12 signaling and MS, towards reducing neuroinflammation and possibly neurodegeneration said Chun
The only way to bypass this gastric defect is to get the B12 straight into the blood
This is not an issue with an injection (since IM/IV bypasses the gut), but if a patient is also taking oral supplements, they should separate them from tetracycline dosing
