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This is an oversimplification of how one-carbon metabolism works

For people who do need injected vitamin B12, it may be possible to consider self-injection to reduce the workload for primary care teams. He also explained that when it comes to people with low/borderline readings in association with no or vague symptoms, many GPs will err on the side of caution and recommend vitamin B12 treatment because the risks from under-treatment will be much higher than from over-treatment

doi: 10.3390/molecules30030654 144

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James MO, Jahn SC, Zhong G, Smeltz MG, Hu Z, Stacpoole PW