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IV administration might be chosen if you are already on IV fluids or need a very rapid correction of vitamin levels

However, increasing oral supplement doses (within safe limits) while awaiting medical review is generally considered safe, as B12 has very low toxicity and excess is excreted through the kidneys

L-methionine is an amino acid used to build proteins and is not produced in the body

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In cases of diagnostic uncertainty, additional tests such as holotranscobalamin or methylmalonic acid may be considered

Who benefits from vitamin B12 supplementation with cyanocobalamin