A prolonged deficiency leads, in the worst case, to lethal anemia, irreparable nerve damage, severe paralysis, chronic pain, severe mental and psychological symptoms and a complete lack of energy
Here are some of the vitamin B12 supplements your doctor may give you: Vitamin B12 injections (typically, 1 to 2 mg of hydroxocobalamin injected into your muscles every other day for two weeks) Vitamin B12 tablets (once your levels are stabilized) Folate (your body needs folate to process vitamin B12 and vice versa) L-methionine (B12, folate, and L-methionine work together) Your doctor may also want to check to see if you need other treatments because of a problematic immune response or another deficiency
It also means you need to replenish your B6 consistently, ideally from an overall balanced diet that includes meats, grains, vegetables and nuts
Specifically, the combination of NNMT inhibition with rigorous exercise produced better strength gains and faster recovery than either intervention alone
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Another common culprit of B12 deficiency is inadequate pancreas function
