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Med ., 2006, no

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

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All such effects are observations drawn from preclinical, in-vitro, and animal investigations

Laboratory findings of markedly elevated B12 levels discovered incidentally should prompt GP review, particularly if you are not taking supplements