Without enough vitamin B12 in your system, you may experience brain fog, poor moods, trouble sleeping, and changes in appetite
It is directly usable by the body and participates immediately in methylation reactions
It is important to see a medical professional if you experience any of these symptoms
Another rare complication of hydralazine is known as drug-induced lupus
However, certain population groupsincluding older adults, vegans, and individuals with malabsorption conditionsmay require additional attention to their B12 status
While very high oral doses (1,000 to 2,000 mcg) can achieve some passive absorption without intrinsic factor roughly 1% of the dose is absorbed passively many clinicians prefer the reliability and rapid correction offered by injections in this population