glutathione immune system inhibits antibody and complement-mediated immunologic cell injury via multiple mechanisms The Role of Glutathione in

The coenzymes of this vitamin are highly unstable in light (6)

Patients should be reviewed 812 weeks after commencing treatment to assess: Symptomatic improvement, particularly resolution of fatigue and neurological symptoms Haematological response (normalisation of haemoglobin and mean cell volume) Reticulocyte count typically rises within one week, indicating bone marrow response Repeat serum B12 testing is generally not useful after starting parenteral therapy, as levels remain elevated for months

Injecting with out of date B12 ampules I still have some B12 ampules left over after panic buying a lot during the pandemic

This provides a reasonable stability and delivery strategy