b12 level 2000 after injection Cobalex® 500mL Vitamin B12 Injection Dose: 7

Individuals most likely to benefit include: Those with pernicious anemia People with gastrointestinal disorders (e.g., Crohns disease, celiac disease, chronic gastritis) Patients following bariatric (weight loss) surgery Older adults with absorption difficulties Strict vegetarians or vegans at risk for deficiency People taking medications that can decrease vitamin B12 levels Laboratory testing usually confirms B12 deficiency before starting injections

However, the enzyme NNMT disrupts this process

Antiepileptic Drugs (e.g., Phenytoin, Phenobarbital) Effect: May alter Vitamin B levels and reduce therapeutic effectiveness