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33 When B 12 levels are too low in the body, the result is an increase in methylmalonic acid (MMA) and Hcy concentration due to inhibition of methylmalonyl-CoA mutase and methionine synthase, respectively

Subcutaneous Options: Abdomen and Thigh While most B12 shots are injected into a muscle (intramuscular), they can also be given as a subcutaneous injection

It is also contraindicated in pregnant women during the third trimester and during lactation

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