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If you follow a plant-based or vegan diet, you might need to get B12 from fortified foods or supplements

[19] The enzymes that use B 12 as a built-in cofactor are methylmalonyl-CoA mutase (PDB 4REQ [43] ) and methionine synthase (PDB 1Q8J)

A 70 mg vial reconstituted with sterile saline becomes a bacterial culture after the first needle puncture

If that is the case, your doctor may recommend supplementation to increase your level to the normal range

Crafted with an emphasis on composition accuracy and formulation quality, this product offers a consistent blend in every serving within an easy-to-use liquid preparation