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Methylcobalamin is involved in essential processes throughout the brain, liver, and nervous system

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Additional factors that may be considered when choosing a medication for you include the medications youve taken previously, if you have concerns about specific side effects such as gastrointestinal, weight changes, sexual or sleep side effects, and if you have any other conditions like bipolar disorder, seizure disorders

NHS laboratories generally define deficiency as a serum B12 below approximately 148 pmol/L (equivalent to roughly 200 ng/L or pg/mL), though reference ranges vary between laboratories and results should always be interpreted in the context of local ranges and the patient's clinical presentation