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Finally, if the serum cobalamin concentration at the time of reevaluation is subnormal, further work-up is required to definitively diagnose the underlying disease process and cobalamin supplementation should be continued weekly or bi-weekly (for parenteral supplementation) or daily (for oral supplementation)

The bottom line A high serum vitamin B12 is usually explained by something the patient took or was given

Do vitamin injections hurt

Gut Dysbiosis Your gut is the home of trillions of bacteria

Cognitive function Methylcobalmin treatment has been found to reduce both cognitive impairment and neuronal cell death (apoptosis) in people affected by fine particulate matter (PM2.5)