If needed for a clear medical indication (such as treating pellagra in a pregnant patient), niacinamide can be used with caution, but unnecessary high-dose B supplementation is avoided in pregnancy
When B vitamin levels are adequate, the body can generate energy efficiently
Glycine, an amino acid, may support muscle protein synthesis when combined with adequate protein intake and resistance training
Our clinic uses methylcobalamin, the most bioavailable and active form of B12
Compared to corticosteroid injections, peptides do not accelerate tissue degeneration, do not suppress natural healing, and promote long-term improvement rather than temporary relief
However, these often involve research-grade products not intended for human use, no medical supervision or safety monitoring, questionable quality and purity, and legal and safety risks