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Vitamin B12, commonly known as cyanocobalamin, is a water-soluble vitamin that aids in the creation of DNA, metabolism, the development of red blood cells (hemoglobin), brain functioning, and nerve cell function in humans

Therefore, high serum B12 levels in individuals supplementing with B12 are typically harmless and do not cause adverse health effects

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The practical rule is that the presence or absence of documented counseling (not the patients age alone) determines whether 90471 or 90460 applies for pediatric patients

While the duration of B12 injection benefits can vary, the effects of a single injection can last for several weeks to several months