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Heres what we recommend for elderly patients: Start with 1000 mcg of vitamin B12 weekly for 4-6 weeks Then, give 1000 mcg every 1-3 months, depending on how theyre doing Keep an eye on their vitamin B12 levels, blood counts, and brain function A study in the Journal of Gerontology stressed the need for B12 in older adults

Sources: Dimet-Wiley AL, Latham CM, Brightwell CR, et al

If you have elevated B12 and symptoms like fatigue, weight loss, or abdominal pain, the symptoms are likely from the underlying cause of the elevation , not from the B12 itself

It directly participates in methionine synthase reactions that convert homocysteine to methionine

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Without enough B12, people can face nerve pain and peripheral neuropathy