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While elevated B12 levels are generally not a direct result of medication, certain drugs can affect B12 status 2

Patients often experience faster recovery from localized strain, visible improvement in muscle tone, and greater strength in targeted areas

The compounds are not interchangeable

At the cellular level, B12 acts as a cofactor for two critical enzymatic reactions: Methionine synthase converts homocysteine to methionine, essential for DNA methylation and synthesis Methylmalonyl-CoA mutase involved in fatty acid metabolism and myelin production By restoring adequate B12 levels, injections enable normal red blood cell maturation in the bone marrow, correcting the megaloblastic anaemia

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