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Some experts point out that regular injections should only be used as a last resort if supplements dont work or if deficiency symptoms are serious.

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A mother who is deficient has lower vitamin B12 concentrations in her breast milk

[21] Within cells, cyanocobalamin is converted to methylcobalamin and 5- deoxyadenosylcobalamin, coenzymes that participate respectively in homocysteine remethylation to methionine and in the isomerization of methylmalonyl-CoA to succinyl CoA, reactions essential for DNA synthesis, erythropoiesis, and myelin maintenance