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If your symptoms fit a deficiency but the number looks normal, doctors can check active B12 (holotranscobalamin) or methylmalonic acid, which reveal whether your cells are actually short of usable B12

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If the liver is harmed then this storage can be affected

Most patients commit to a 4-8 week protocol cycle, depending on the recovery concern

Mouth pain Vitamin B12 can affect the mouth causing pain

Again, both pathways are impaired, and the accumulated homocysteine is transported into the blood