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I cover more on this phenomenon in my folate article

Haematological disorders frequently elevate B12 levels

Maintenance Once stores are replete, maintenance is 1mg every two to three months for deficiency of dietary origin, or every two months where there has been neurological involvement

NAD is proven to boost energy, and repair damaged DNA

This happens because when you stop the treatment, the effects of medication, such as reduced appetite and slower digestion, gradually fade and lead to an increase in hunger cravings and higher calorie intake

Furthermore, B12 may play a role in the severe variation of preeclampsia known as HELLP syndrome (Hemolysis, Elevated Liver enzymes and Low Platelets)