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There is also the slight risk of nerve injury with IM shots

And while eating B12-rich foods and take oral supplements can boost your levels, vitamin B12 injections are an increasingly popular way to supplement

[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

This type of anemia is caused by a lack of the intrinsic factor needed to support red blood cell production