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Vitamin B12 is a cofactor in synthesizing methionine, which is essential for protein formation.[ref] If you are deficient in B12 or folate for a long time, you can develop megaloblastic anemia

This is also where the supply-versus-stability point from the reconstitution section bites: if a reconstituted 10 mg vial holds ~66 doses but the solution is only reliably stable for a few weeks, plan the reconstitution volume so you are not left discarding drug you paid for

Because the human body cannot synthesize Vitamin B12 on its own, it must be obtained entirely through diet or targeted supplementation

2021 Jun 6;3(8):601-610