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Early recognition and treatment of vitamin B12 deficiency can prevent unnecessary invasive procedures and lead to rapid clinical improvement

What does an injection do that an oral supplement doesnt

Headache: Headaches are a less common side effect of vitamin B12 injections but can occur in some individuals

As a cofactor, cobalamins are essential for two cellular reactions: the mitochondrial methylmalonyl-CoA mutase conversion of methylmalonic acid (MMA) to succinate, which links lipid and carbohydrate metabolism, and the activation of methionine synthase, which is the rate-limiting step in the synthesis of methionine from homocysteine and 5-methyltetrahydrofolate