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Simultaneously, higher S-adenosylmethionine (SAM) availability supports key methylation-dependent pathways, which are crucial for epigenetic regulation and gene expression related to energy metabolism

These reactions are rare and dont last long

Then, they are given monthly to keep symptoms away

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Proton pump inhibitors and similar medications that lower stomach acid might decrease the absorption of vitamin B12 from food, but this is less of a concern when receiving B12 injections because they bypass the digestive system entirely

Injections may be recommended when: There is impaired absorption (for example, pernicious anaemia)