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Adjust dose, wait 1-2 weeks to assess, then consider other changes if needed

Improved Mood: Adequate B12 levels are associated with better mood and mental health

The results of a sequential supplementation trial in 53 men and women indicated that after optimization of folate status with folic acid supplements, vitamin B 12 became the major determinant of plasma homocysteine levels (30)

While the magnitude of this effect varies among individuals, even modest increases in metabolic rate can support sustained fat loss over time

Such patients often are prescribed supplemental B

These changes may reflect reduced nutrition, frequent wet work, thyroid disease, eczema, psoriasis, fungal infection or anaemia