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Working with gastroenterologists can help manage malabsorption

But that barrier limits how much topically applied GHK-Cu actually reaches the follicles

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Interpretation should consider: Symptoms CBC (especially if basophilia, leukocytosis, etc.) Liver function tests Renal function Inflammatory markers Even high serum cobalamin levels can be accompanied by functional deficiency Suggested Workup for Unexplained High B12 : Repeat B12 measurement off supplements Check: Liver enzymes CBC with differential Serum creatinine Holotranscobalamin active fraction of vitamin B12, bound to TCB II 8 Consideration of myeloproliferative neoplasm workup if hematologic abnormalities are present Imaging if malignancy suspected (e.g., abdominal imaging if liver pathology or malignancy is suspected) In summary, while elevated B12 is most often benign and related to supplementation or liver/renal dysfunction, it is essential to rule out underlying hematologic malignancy or solid organ cancer when unexplained or accompanied by abnormal clinical or laboratory findings

In conclusion, the present review summarized the role of ferroptosis in the pathology of AD and how mechanisms such as iron metabolism disorders, lipid peroxidation and GSH depletion lead to neuronal damage, as well as the role of ferroptosis inhibitors such as vitamin E, Se and Fer-1 as potential therapeutic strategies

It doesnt replace surgery in severe cases, but some vets include it in post-op recovery protocols to speed healing