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Vitamin B12 functions as a cofactor in cellular metabolism but possesses no thermogenic properties and does not directly influence adipose tissue metabolism or fat burning
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We order vitamin B12 and folate testing when a person with Down syndrome we are evaluating has symptoms described above, has a lab abnormality for which follow up testing of vitamin B12 and/or folate is indicated, or the person has a condition in which deficiency is common (e.g., celiac disease)
It is also contraindicated for epidural or spinal (intrathecal) injection procedures
Some patients may notice a boost in energy and well-being within days after starting regular injections as prescribed
