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Intramuscular B12 injections, rather than oral B12 supplements, help correct the deficiency

However, two other forms hydroxocobalamin and cyanocobalamin become biologically active after they are converted to methylcobalamin or 5-deoxy adenosylcobalamin, said Dr Aravinda G M, consultant, internal medicine, Manipal Hospital, Jayanagar, Bangalore

Drug/Laboratory Test Interactions: Persons taking most antibiotics, methotrexate and pyrimethamine invalidate folic acid and vitamin B 12 diagnostic blood assays

The body can only retain so much

If community sources are the reference point, reported experiences range from subjective improvement to no perceived effect, and the no-effect reports are not anomalies given the thin evidence base

Within 2 to 3 days of their first injection, most people feel less exhausted