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If you do not have enough adenosylcobalamin, you may have lower levels of succinyl CoA, which could lead to reduced energy or ATP production

Dosing typically begins at a lower dose, suggested initiation of 4 units (0.04 mL) weekly for the first 4 weeks, then escalates according to a titration schedule: Weeks 1-4: Inject 4 units (0.04 mL) one time per week Weeks 5-8: Inject 8 units (0.08 mL) one time per week Weeks 9-12: Inject 18 units (0.18 mL) one time per week Weeks 13-16: Inject 30 units (0.3 mL) one time per week Week 16+: Inject 44 units (0.44 mL) one time per week Dosing may deviate from this pattern to accommodate patient-specific needs

In these cases, our medical team may recommend more frequent injectionssometimes as often as once a weekuntil your B12 levels are restored

They see 60 units

Here are some ways in which B12 contributes to skin health: Cell regeneration: Vitamin B12 is involved in DNA synthesis, which is essential for the production and regeneration of new cells, including skin cells