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doi: 10.1002/gps.1856 Pubmed Abstract CrossRef Google Scholar View reference in article 81 WatanabeHIshidaSKonnoYMatsumotoMNomachiSMasakiKet al

In the first and second stages, lab testing will show declining levels of vitamin B12 and holotranscobalamin (transporter of B12), while MMA and homocysteine levels will remain within or around the normal range

The typical maintenance dose is 1,000 mcg administered IM once monthly
But "works" depends entirely on using it correctly
