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Methylcobalamin is less stable than cyanocobalamin and is particularly susceptible to photodecompositionthat is, destruction from light exposure

SAMe is a methyl donor involved in various methylation reactions in the body, including the synthesis of some neurotransmitters, such as dopamine and serotonin

Metformin, commonly prescribed for type 2 diabetes, is well-known to cause diarrhoea and is also associated with B12 deficiencymeaning patients may be taking both simultaneously

Lab follow-up helps show whether the schedule is correcting deficiency and whether ongoing maintenance is needed

Its important to note I started out at 138lbs and two months later have lost 9lbs