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Moreover, a US national study of 2,806 older women (50 years) found increased plasma concentration of methylmalonic acid the metabolic indicator of vitamin B 12 deficiency to be associated with increased risk of lumbar spine osteoporosis (115)

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Planning across the titration schedule If you are following the standard titration from 0.25mg to 2.4mg, here is approximately how many 5mg vials you need for the first 20 weeks

Additionally, vitamin B12 plays a vital role in homocysteine metabolism

Boeszoermenyi, A

Research suggests that this is even more important for women who are pregnant or lactating (6)