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A rare cause is transcobalamin II deficiency, a genetic condition where your body can't transport B12 (also known as cobalamin) in your body

It is normally involved in the metabolism of every cell of the body, especially affecting DNA synthesis and regulation, but also fatty acid synthesis and energy production

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Munib usually recommends an initial series of weekly injections, then transitions to monthly maintenance doses once therapeutic levels are achieved

You might consider vitamin B12 injections, B12 Shots if you are: Following a vegan or vegetarian diet that may not provide sufficient vitamin B12

Some patients achieve their goals in a single cycle