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There is no gold standard test that gives a clear, unequivocal answer to the question does this person have a vitamin B12 deficiency, yes or no

What is Hydroxocobalamin

What Is the Connection Between Vitamin B12 and Healthy Pregnancy

Additionally, very high methionine intake (from weekly or biweekly Lipo B protocols) may elevate homocysteine levels in certain individuals, particularly those with genetic variants affecting methionine metabolism

Recent estimates have shown that 90% of people who follow a strict vegan or vegetarian diet are vitamin B12 deficient

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