should b12 injections be kept in the fridge Hydroxocobalamin Injection: Vitamin for Energy & Anemia — Mountainside Medical Too Much B12 Symptoms: Overdose

Two, people with genuine B12 deficiency are, after withdrawal, at risk of developing worse symptoms, which may even persist after resuming treatment

Mol Biol Cell 2016;27:349359

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In the face of vitamin B 12 deficiency, conversion of methylmalonyl-CoA to succinyl-CoA cannot take place, which results in accumulation of methylmalonyl-CoA and aberrant fatty acid synthesis

Vitamin B12 may interact with different medications, so it is important to inform your doctor of all other medications, whether they are prescribed or over the counter, to be safe