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If your deficiency is borderline and you're filling a smaller gap, the improvements are often more gradual and harder to pinpoint

Elevation in homocysteine is expected with cobalamin deficiency due to reduced methionine synthase activity even in the face of extreme cobalamin deficiency

Cobalamin is also famous for its role in hematopoiesis and it plays an essential role as a coenzyme in many biochemical processes that maintain or restore the health of the nervous system

The frequency can vary based on needs, with some getting weekly shots for a set time

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