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For example, a doctor might prescribe the following: 100 micrograms daily for about a week Followed by every other day for seven doses After that, every three to four days for two to three weeks Once monthly until the deficiency is treated B12 injections require a prescription and can be administered at a doctor's office or at home with the approval of a healthcare provider

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It acts as a cofactor for methionine synthase and methylmalonyl-CoA mutase, enzymes that are critical for one-carbon metabolism as well as the catabolism of odd-chain fatty acids and branched-chain amino acids (Rucker et al., 2007)