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I still think it indicates you cant utilise any b12 stores in the liver

To maximize the effect, these injections are often used together with a healthy diet and regular exercise

When a person with Down syndrome has vitamin B12 and/or folate deficiency, the increase in the homocysteine level may not be great enough to overcome this starting low value of homocysteine

clinical decisions should involve qualified healthcare providers

A: While generally considered safe, some people may experience mild side effects such as injection site soreness or temporary digestive upset

Effects of oral contraceptives and hormone replacement therapy on markers of cobalamin status