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If pain or gut symptoms are affecting your daily life

Vitamin B 12 and homocysteine metabolism The figure shows the biochemical pathway of B-vitamin and homocysteine metabolism, highlighting the vitamin B 12 -dependent reaction catalyzed by methionine synthase

Depending on your condition, after your first round of shots, your doctor may keep you on a regular regimen of shots or shift you to other delivery systems like pills or liquids

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Injection site reactions including temporary redness, swelling, or discomfort occur occasionally