Hepatic cytochrome P450 isoenzymes CYP1A2 and CYP3A4 mediate N-de-ethylation, so polymorphisms or competitive inhibition at these pathways (e.g., by certain antidepressants or azole antifungals) may increase systemic exposure, underscoring the importance of individualizing dosage and monitoring serum concentrations in prolonged infusions
If you're experiencing this, get your levels checked and talk to our medical team
For the majority of people, a balanced diet provides all the B12 they need
anxiety on the other hand tends to go through the roof these days but that's built up in my 40s and I don't think it has anything to do with the B12
-20C, 1 month (sealed storage, away from moisture)
They are also beneficial for individuals with certain medical conditions that affect B12 absorption