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Others schedule maintenance to help keep levels steady, especially if they follow a plant-forward diet, take certain medications that affect absorption, or have a history of deficiency

It depends on your lifestyle, diet, stress levels, and symptoms

If a patient has neurological symptoms, the frequency might be every two months

This is probably explained by the fact that S-adenosylmethionine (SAM), which is important for many epigenetic processes, is regenerated by methylcobalamin, whereas cyanocobalamin reduces it (as we explored above)

This makes it less likely to cause systemic side effects like water retention, insulin resistance, or abnormal growth of tissues