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Vitamin B12 breaks down homocysteine to produce components that the body uses

An injection delivers the vitamin straight into the bloodstream

Treatment with intranasal cyanocobalamin should be delayed until symptoms resolve in patients with nasal congestion, allergic rhinitis, and upper respiratory infection

Step 1: Do not inject This is not the time for "it is probably fine" thinking

If the results are low, or even at the low end of the normal range, cobalamin supplementation is called for

Neurological, gastrointestinal and psychological symptoms are also common along with glossitis (an inflamed and swollen tongue