If results remain unexplained, particularly with very high levels, further investigation may include imaging or haematology referral depending on clinical context and associated abnormalities
Without enough vitamin B12, homocysteine can build up
[2] [1] With neurological involvement: Hydroxocobalamin 1mg intramuscularly on alternate days until no further improvement, then maintenance injections every 2 months
Passed: Confirms compliance with USP bacterial toxin thresholds
By taking a full blood count, your doctor can help you figure out how well your body stores B12
If concentration is your primary concern, B12 shots for mental energy can be part of a broader focus plan covering sleep, hydration, and a protein-forward breakfast