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Behboudi-Gandevani S, Bidhendi-Yarandi R, Panahi MH, Vaismoradi M

In a patient receiving vitamin B12 injections who has a serum B12 level of 1230 pg/mL (reference range up to 771 pg/mL), should the injection dose be reduced or is the elevated level clinically insignificant?

Standard subcutaneous injection in the abdominal area is sufficient

This combination may help to facilitate the efficient metabolism of homocysteine and maintain a healthy homocysteine pathway, allowing for the normal production of its necessary and important end products, including the sulfur-containing amino acids taurine and cysteine, and the neurotransmitters norepinephrine and dopamine