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Regular monitoring is key to tracking progress and making adjustments as needed

Serum B12, and potentially methylmalonic acid (MMA) and homocysteine, give your clinician the data to determine whether B12 is a contributing factor or whether the mood symptoms are being driven by something else entirely

The medication can be kept at room temperature for short periods when preparing an injection, but prolonged exposure to room temperature should be avoided unless specified by the pharmacy

Vitamin B12 is naturally found in animal-based foods such as meat, fish, poultry, eggs, and dairy products

Based on these results, we can then prescribe an appropriate frequency for the injections