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Other factors include: Underlying cause of deficiency : Pernicious anaemia, malabsorption disorders, or dietary insufficiency may affect treatment response Medication use : Metformin and proton pump inhibitors can reduce gastrointestinal B12 absorption (though this does not affect the efficacy of intramuscular injections) Individual variation : Differences in how efficiently your body utilises the injected vitamin Adherence to treatment schedule : Missing injections or delaying maintenance doses can slow recovery Discussing these factors with your healthcare provider helps set realistic expectations for your treatment journey

Improve Mood When your B12 is low, you are likely more prone to have a low mood or even symptoms of depression

Reference: Small molecule inhibitor of nicotinamide N-methyltransferase shows anti-proliferative activity in HeLa cells (2021)

Monitoring of symptoms during treatment Gambling Recently, I came across a text on a medical website where the following advice was given to doctors: Review all patients with an active diagnosis of vitamin B12 to identify if the diagnostic guidelines were followed