Leukopenia, macrocytosis, and thrombocytopenia occur in young adults with Down syndrome
How often can I receive the injections
There is no advantage to using the light sensitive forms of cobalamin, such as methylB 12 or adenosylB 12 , instead of the stable cyano or hydroxy forms, which are readily converted in the body into the coenzyme forms, methylB 12 and adenosylB 12
But when sleep is elusive, the repercussions extend beyond nighttime restlessness
Rather than receiving a one-size-fits-all recommendation, patients can discuss whether B12 injections make sense within their larger treatment plan
Over 250 pounds (113kg+): Maximum standard dosing of 500mcg applies, though some individuals may benefit from extending cycle length rather than increasing dose