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Although raised homocysteine levels might be partly due to a poor vitamin B 12 status, the latter was not related to risk of dementia or Alzheimer's disease in this study (73)

If you are B12 deficient, correcting that deficiency whether through injections or oral supplements can significantly improve energy levels

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Polycythemia vera has also been reported with parenteral methylcobalamin

Vitamin B12 is crucial for healthy nerve function and red blood cell production