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This reaction has two consequences studied in the literature: it consumes S-adenosyl methionine, the cells principal methyl donor, and it removes nicotinamide from the salvage pathway that regenerates NAD+
You may also be given B12 injections if your body cannot absorb B12 from regular tablet supplements
Explore B12 Shots & Injections: Understand the pros, cons, and consider alternatives to mitigate serious symptoms with PatchMD
People can also have 'normal' levels of B12 in their blood, but be symptomatic - this is known as a functional B12 deficiency
[7] In addition, oral contraceptives have been noted to lower serum B levels, though this effect is usually clinically insignificant
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