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Treatment should start urgently and should not be delayed for laboratory confirmation if neurological features strongly suggest B12 deficiency
For keeping levels up, shots are usually given monthly
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However, they come with their set of challenges, and needle-averse patients often yearn for an alternative
The transcobalamin-II is degraded within a lysozyme, and free B12 is finally released into the cytoplasm, where it may be transformed into the proper coenzyme, by certain cellular enzymes (see above)
Vitamin B12 is a vital, water-soluble nutrient that your body cant produce on its ownit has to come from your diet
