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Higher doses and more frequent shots may be needed for recovery

The bottom line is that so-called coenzyme forms of B12, like methyl B12 and adenyl B12 (also known as adenosyl b12), are not likely to be superior to cyanocobalamin, which is more stable

If youve had a gastric bypass, have a history of Celiac disease or pancreatic deficiencies, or are on a vegan diet, you are also at risk, Yourman says

When a person with Down syndrome has vitamin B12 and/or folate deficiency, the increase in the homocysteine level may not be great enough to overcome this starting low value of homocysteine