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[107] Anti-seizure medications phenobarbital, pregabalin, primidone and topiramate are associated with lower than normal serum vitamin concentration

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For reference, this is substantially higher than the equivalent human doses typically used

Many patients report noticeable improvements in energy, mental clarity, and mood within days of their first injection

So, unless otherwise indicated by a health care professional, everyone can benefit from boosting their vitamin B12 stores to increase their metabolism, improve their energy levels, and feel more alert