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4 Both MMA and homocysteine levels will accumulate in the body during B12 deficiency and just homocysteine is elevated for folate deficiency

Many mild side effects are local and brief, but repeated injections over years are poorly characterized in the literature

[PubMed] [Google Scholar] 27.Thomas MR, Sneed SM, Wei C, Nail PA, Wilson M, Sprinkle EE., 3rd The effects of vitamin C, vitamin B6, vitamin B12, folic acid, riboflavin, and thiamin on the breast milk and maternal status of well-nourished women at 6 months postpartum

Testing rather than guessing provides the clearest guidance

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Severe effects warrant immediate discontinuation