Finally, if the serum cobalamin concentration at the time of reevaluation is subnormal [lower than normal], further work-up is required to definitively diagnose the underlying disease process and cobalamin supplementation should be continued weekly or bi-weekly
In drug-induced pyridoxine deficiency, such as in patients taking isoniazid, a higher replacement dose is often used, for example, 100 mg IV or IM daily for 3 weeks, to rapidly correct the deficiency, followed by a maintenance dose of around 30 mg daily
Toxin Elimination B12 ramps up Phase II liver detoxification enzymes that bind and flush out accumulated toxins
[17] Use in food [edit] Cyanocobalamin is added as an ingredient to fortify nutrition in products such as baby formula, breakfast cereals and energy drinks as well as livestock feed
the infant will simply receive more B vitamins, and excess will be excreted in the infants urine as well
Complete symptom resolution typically requires several weeks to months of regular treatment