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If your B12 is above 1,000 pg/mL and you dont supplement , or if your levels are rising over time without explanation, schedule an appointment soon

For maintenance, most patients receive one injection every 2 to 3 months

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And what does a high vitamin B12 level even mean

Curiously, while the expression of key polyamine synthetic enzymes are primarily neuronal in the brain, the bulk of Spd and Spm in the brain is stored in astrocytes, with the notable exception of specific neuronal sub-populations such as neurosecretory cells (Laube and Veh, 1997