In 2003, the famous Ralph Carmel wrote in the New England Journal of Medicine: The administration of folic acid can mask the megaloblastic anaemia caused by cobalamin deficiency
Most B12 is Cyanocobalamin, a synthetic form your body has to convert
In addition, once-daily administration of 1 mg oral hydroxocobalamine caused the studied children's levels of homocysteine to increase and their levels of methionine to decrease, while the reverse happened when hydroxocobalamine was given intramuscularly
Vegetarians and vegans are at a higher risk of developing vitamin B12 deficiency as they do not consume animal-based products, which are the primary sources of vitamin B12
She also stresses patience, because this treatment is not a race, and some weeks results may be better than others (I weigh myself daily as an accountability check)

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