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[7] However, earlier studies raised concerns

At the cellular level, B12 acts as a cofactor for two critical enzymatic reactions: Methionine synthase converts homocysteine to methionine, essential for DNA methylation and synthesis Methylmalonyl-CoA mutase involved in fatty acid metabolism and myelin production By restoring adequate B12 levels, injections enable normal red blood cell maturation in the bone marrow, correcting the megaloblastic anaemia

Adv Exp Med Biol 343 : 215226 Arslanian SA et al

The amount of water you add changes the concentration

Bloodwork gives you the objective picture

doi: 10.3390/nu11092128