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Kopchick, J

One key element of guidance is that treatment should not be based on serum B12 levels as interpreting these is at the very least difficult after injections have started

However, other research leads us to think that the methylcobalamin form is excreted less frequently than the cyanocobalamin form, which suggests that it is retained in the bodys tissues better

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(12) Watch out for these signs and symptoms of a B12 deficiency: Fatigue Muscle weakness or muscle spasms Anxiety or depression Brain fog Unexplained weight loss Frequent colds Pins and needles Cognitive impairment Low blood pressure Incontinence