Most healthcare providers start with a standard dose and adjust based on your response
Antiquitin is involved in the oxidation of lysine, and deficiency of this enzyme leads to pathological accumulation of -AASA, P6C, and piperidic acid
Vitamin B12 can interact with medications such as colchicine (a medicine used to treat gout), metformin (an anti-diabetic agent), excessive alcohol, vitamin C products, extended release potassium products, antibiotics such as gentamicin, neomycin, tobramycin, anti-seizure medications such as phenobarbital, phenytoin, primidone, medicines used to treat heartburn like H2 blockers such as cimetidine and proton pump inhibitors such as omeprazole, antacids such as ranitidine, cimetidine
Keep the rubber stopper clean and wipe with alcohol before each use
Vitamin B12 is needed for red blood cell production, DNA synthesis, and normal nerve function