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Should you or your child exhibit any of these less common symptoms, close monitoring is pivotal, and consultation with a healthcare provider is necessary if your child develops symptoms that persist or worsen

Vitamin B 12 Vitamin B 12 (cobalamine) is a water-soluble vitamin and a cofactor for the conversion of Hcy to methionine and is a co-enzyme involved in the synthesis of purine bases and pyrimidine

The addition of B12 helps combat fatigue and enhance focus

Your body requires some form of bioavailable B12

Supports tissue repair and maintenance of cartilage, bones, and blood vessels

Blood tests are usually more frequent when you first start methotrexate or after your dose changes, and less often once your treatment is stable