It participates in the conversion of homocysteine to methionine and the metabolism of methylmalonic acid, both crucial for energy production at the cellular level
However, one study on the treatment of children with methylmalonic acidemia and homocystinuria found oral hydroxocobalamine at 1 mg daily to be ineffective in reducing levels of homocysteine
It works by mimicking luteinizing hormone (\(LH\)) to stimulate gonadal function
lentil, ham, leek and potato Snack ideas: 200ml glass of skimmed milk (add 1-2 tsp of skimmed milk powder) or high protein shake or high protein yoghurt or low fat custard or low fat yoghurt Suitable fluids: Try to choose protein rich liquids in between your meals: Skimmed or semi-skimmed milk (try adding dried skimmed milk powder or protein powder) High protein shakes, protein water Other fluids you can have: Still water Marmite, Bovril, consomm, bouillon Clear soups Herbal or fruit teas Tea and coffee (use sweeteners, not sugar) No added sugar/sugar free squash Sugar free jelly Diluted vegetable juice (no bits) Fluids to avoid: Fruit juices, malt drinks and fruit smoothies Fizzy drinks (including fizzy water) as the gases may cause bloating, pain and can increase your stomach size All alcohol Aim to drink 1.5-2 litres of fluids each day
Subcutaneous injection bypasses the gastrointestinal tract entirely
Vitamin B12 injections have become popular in recent years and have been shown to increase mood, boost immunity and aid in quality of sleep