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Reduces Inflammation Helps combat oxidative stress, which can contribute to aging and chronic conditions

In my own practice, especially if an older person has risk factors for vitamin B12 deficiency, I consider a vitamin B12 level of 200-400 pg/mL borderline, and I usually order a methylmalonic acid level as a follow-up

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Thats on top of the wider supplement contamination problem that already catches clean athletes out under WADAs strict liability rules

N., Orlova, A

Patients with neurological symptoms require more intensive treatment with alternate-day injections until improvement plateaus, and may need more frequent maintenance dosing