Another study of elderly community-dwelling individuals found that low vitamin B12 levels were associated with poorer memory (175)
generic Cyanocobalamin 1000 mcg/ml, 10 ml vial from Canada, as low as $13.60 per vial generic Cyanocobalamin 1000 mcg/ml, 5 x 1 ml ampoules from Turkey, as low as $22.00 per unit Are There Alternative Names for the Brand and Generic Vitamin B12 Injection
Subsequent biochemical work demonstrated that only two enzyme systems require forms of vitamin B12 in man: adenosylcobalamin in the conversion of methylmalonyl coenzyme A to succinyl coenzyme A by methylmalonyl-coenzyme A mutase, and methylcobalamin in the conversion of homocysteine to methionine by methionine synthase (139)
it is also necessary to determine why the cobalamin deficiency developed in the first place
NICE recommends more frequent injections (alternate days until no further improvement) for patients with neurological involvement
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