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[1] Other manifestations of B12 deficiency include glossitis (sore, red tongue), mouth ulcers, visual disturbances, and in severe cases, psychiatric symptoms such as depression, psychosis, or dementia-like presentations

Inhibit lipogenesis the metabolic process that forms fat (even from nonfat foods), which increases the amount of triglycerides in the body

However, pharmacokinetic studies have shown methylcobalamin stays longer in brain and liver tissues

However, their effects are variable and generally observed in only a minority of patients, making it challenging to predict treatment efficacy on an individual basis [9]