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This paradoxical response affects some patients receiving hydroxocobalamin treatment for vitamin B12 deficiency

Yes, methylcobalamin is the active form your body uses directly

You do not have to remember anything each day

The following groups of people are at a greater risk of developing a vitamin B12 deficiency: Vegans or vegetarians People 75+ years Having a digestive system disorder like Crohns or celiac disease Drinking excessive amounts of alcohol Having Sjgrens syndrome Taking certain medications like oral birth control or metformin Common symptoms of a vitamin deficiency include fatigue, numbness, poor balance, memory loss, and breathlessness