Muscle-Specific Effects In skeletal muscle specifically, these signaling events promote muscle fiber hypertrophy (increased muscle cell size), activation and proliferation of satellite cells (muscle stem cells that can fuse with existing fibers or form new fibers), increased myofibrillar protein content and contractile capacity, and overall muscle mass accretion
With Neurological Symptoms Often 1000 mcg hydroxocobalamin IM on alternate days until improvement plateaus, then taper to a stable schedule
DeFronzo RA, Ferrannini E
Phospholipid quality matters most, sunflower or soy lecithin are common ones to look for
This liquid breakfast is often well-tolerated even when solid foods feel unappealing and provides balanced nutrition in an easily consumed format
Stomach paralysis disrupts the normal muscular contractions of the stomach (peristalsis), which help move food into the small intestine