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Some users notice improvements in how they feel during recovery within the first week or two

The lack of adequate cobalamin in the body hinders the regeneration of tetrahydrofolate, which eventually leads to megaloblastic anemia due to the functional folate deficiency.[9][10] On the other hand, the methylmalonyl-CoA mutase helps to metabolize odd chain fatty acids and branch chain amino acids.[5] Cobalamin is also thought to keep the bodys level of sulfhydryl (SH) groups in reduced form

Initial optimization (months 1-3)

Definition: High serum vitamin B12 is defined by a rate above 950 pg/ml (701pmol/l), which corresponds by biological standards, to the upper limit of biological normality