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Biomarkers: Homocysteine and Methylmalonic Acid Levels Homocysteine and methylmalonic acid levels are key to checking B12 status

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Vitamin B12 helps make myelin, a fatty substance around nerve fibers

[7] Commonly observed adverse effects include transient injection-site discomfort, breast tenderness, nausea, fluid retention, and mild mood fluctuation, whereas rarer but serious events encompass venous or arterial thromboembolism, gallbladder disease, significant elevation of blood pressure, and hormone-sensitive malignancies such as endometrial or breast cancer