Infants have the most common symptoms of B 12 deficiency like feeding difficulties, seizures, growth retardation, megaloblastic anemia, developmental delay, hypotonia, microcephaly, lethargy, involuntary movements, irritability, and cerebral atrophy
Higher concentration of nitrates and nitrites, especially, in combination with lower pH may be the reason for the better effect of PTL ACair compared to PTL DC
In general, federal regulations prohibit compounding pharmacies from producing identical copies of commercially available drugs unless the FDA places a commercial drug on its official shortage list
Another implication: as effective as these drugs are, they underscore that lifestyle interventions remain essential