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Maintenance Dosing Guidelines After the initial treatment, patients need maintenance dosing to keep vitamin B12 levels up
top of page PRIMARY CARE | WELLNESS | AESTHETICS B12 Injections Our bodies need vitamin B12
The injected hydroxocobalamin is transported via the bloodstream to tissues throughout the body, where it acts as a cofactor for two critical enzymatic reactions: the conversion of homocysteine to methionine and the conversion of methylmalonyl-CoA to succinyl-CoA
Patients with simple steatosis and no additional risk factors may require testing only if symptoms develop, whilst those with advanced liver disease or on medications affecting B12 absorption might benefit from periodic monitoring as advised by their GP or specialist
