By Shardul Nautiyal
In a comprehensive review of its
therapeutic potential, Dr Sanjay Agrawal, Scientific Advisor of Alkomex GBN
USA, highlights the pivotal role of methylcobalamin in modern clinical
practice.
Dr Agrawal urges greater awareness among
healthcare professionals about the benefits of methylcobalamin. “Its role in
treating conditions like diabetic neuropathy, chronic pain, and neurological
disorders underscores its importance as a cornerstone of modern medicine.”
Vitamin B12, a crucial water-soluble
vitamin, is integral to DNA synthesis, red blood cell production, and
neurological function. It is predominantly found in animal-based foods like
meat, fish, and dairy products, with plant-based foods providing little to
none. Deficiency in this vitamin can lead to serious health consequences, often
requiring supplementation.
“Methylcobalamin, an active form of
vitamin B12, is the most bioavailable and therapeutically effective form.
Unlike cyanocobalamin, which requires biotransformation, methylcobalamin is
readily absorbed and utilized by the body, making it a preferred choice for
supplementation,” says Dr Agrawal.
Methylcobalamin has been extensively
studied and used in clinical practice since the 1990s. According to Dr Agrawal,
its benefits extend far beyond basic vitamin B12 supplementation.
“Laboratory and clinical evidence
demonstrate its effectiveness in promoting healthy nerve function, relieving
neuropathic pain, and reducing inflammation,” Dr Agrawal explains.
Its key benefits include promoting myelin
synthesis and nerve regeneration, providing analgesic effects for nerve-related
pain, offering antioxidant and anti-inflammatory properties.
Dr Agrawal notes that methylcobalamin has
shown remarkable efficacy in managing neurological disorders, including
diabetic peripheral neuropathy (DPN). Clinical trials have demonstrated
significant reductions in pain and disability scores among patients treated
with methylcobalamin.
Chronic low back pain and neck pain -
Randomized studies reveal improved pain scores and functionality with
methylcobalamin injections compared to placebos.
Patients reported dramatic pain relief,
with some experiencing a 50% reduction in pain through daily methylcobalamin
injections in trigeminal neuralgia and herpetic neuralgia.
Faster recovery of facial nerve function
has been observed with methylcobalamin therapy in Bell’s palsy cases. Studies
indicate improvements in communication, oxidative stress, and survival rates in
early-treated autism and ALS (amyotrophic lateral sclerosis) patients.
Dr Agrawal emphasizes the safety profile
of methylcobalamin, which is well-tolerated even at high doses. “Clinical
studies using doses up to 50 mg twice weekly have reported no significant side
effects,” he says.
Research also supports methylcobalamin’s
ability to cross the blood-brain barrier, unlike other forms of vitamin B12.
“This unique property allows it to directly impact neurotransmitter activity
and protect the brain,” adds Dr Agrawal.
“Methylcobalamin can be administered
orally, intramuscularly, or intravenously, with therapeutic doses ranging from
1,500 to 6,000 µg per day. Lower doses, administered over extended periods,
have also proven effective,” Dr Agrawal advises.
“Methylcobalamin addresses fundamental
issues in neuropathic pain and nerve damage. Its ability to reduce
inflammation, promote nerve regeneration, and provide analgesic effects makes
it an invaluable tool in clinical practice,” says Dr Agrawal.
(Source- www.pharmabiz.com)
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