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Pharmacy staff should advise patients to keep a diary of their symptoms and to speak to their GP about any potential change to their treatment schedule

Some disorders of intracellular cobalamin metabolism (cblC, cblD-MMA/Hcy, cblF, and cblJ) do not only compromise the synthesis of methylcobalamin, but also the synthesis of adenosylcobalamin, cofactor of the enzyme methylmalonyl-CoA mutase, leading to elevated concentrations of both tHcy and methylmalonic acid (MMA)

And unless you have low vitamin B-12 levels in your body, vitamin B-12 shots arent likely to give you more energy or improve your performance

Once per discrete injection per date of service is the baseline rule