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[21] Within cells, cyanocobalamin is converted to methylcobalamin and 5- deoxyadenosylcobalamin, coenzymes that participate respectively in homocysteine remethylation to methionine and in the isomerization of methylmalonyl-CoA to succinyl CoA, reactions essential for DNA synthesis, erythropoiesis, and myelin maintenance
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Patients often take B12 shots to improve their mood and energy levels, since B12 supports the production of serotonin and dopamine and encourages the conversion of food to energy
Depending on the injection, it might include other B vitamins
Levels typically rise faster and more reliably with injections than with oral dosing for patients who have an absorption issue
Pediatric Dosing Recommended dosage for children may vary based on different medical conditions: For the initial treatment of pernicious anemia, the usual dose is 30-50mcg SC/IM, given every day for 2 weeks, followed by maintenance treatment
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