l carnitine before or after meal Rootcology by Dr. Izabella Wentz | Blend | L-Carnitine & Acetyl-L-Carnitine Formula | Ideal for Vegetarians Acetyl L-Carnitine 150g - Premium

When selecting tea, opt for high-quality, organic varieties free from additives or fillers

It may help improve the bodys natural healing mechanisms, decreasing inflammation in the body, and supporting the formation of new blood vessels

Studies have also indicated interactions with opioid pathways DSIP administration has been shown to modulate pain perception and has effects that can be partially blocked by opioid antagonists in some paradigms, suggesting opioidergic involvement in at least some of its actions

Patano et al

Alternatively (and this is the approach I take for many patients), if you are experiencing significant symptomatic improvement then you can just continue to take the B12 shots indefinitely