Because levels are often quite low before a deficiency is recognized, it can take some time for serum concentrations to even out and symptoms to subside
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If there is a lack of cobalamin in the body, methylmalonyl CoA accumulates, which presumably leads to the neurological manifestations of B12 deficiency.[4][7][9][12] The replenishment with parenteral cyanocobalamin causes a rapid and complete improvement of megaloblastic anemia and gastrointestinal symptoms caused by vitamin B12 deficiency
Improve energy levels If you're not getting enough vitamin B12, you may feel weak and tired
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