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MS converts homocysteine (Hcy) to methionine (Met), which then changes to SAM, the physiologically active form

The answer unfolds uniquely for each individual, influenced by a tapestry of factors

The two most common compounded concentrations are 10mg/mL and 20mg/mL, and mixing them up is one of the most dangerous dosing errors you can make

If supplementation is responsible, your doctor may recommend reducing or stopping non-essential B12 intake, with repeat testing after an appropriate interval (typically 2-3 months, or longer if you've had recent injections or have kidney disease)

In response to the failures of B12 therapy by MDs, naturopathic doctors (NDs) claimed that typical B12 shots used cyanocobalamin, an inactive form of B12 that didnt work well