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Further, NICE and the BNF says that if there are neurological symptoms present, then every other day injections are the recommended treatment, so all the points you make about B12 being stored and sufficient are not really relevant

[74] Fruit and iron were also part of the diet, and it appears that at this point, Minot and Murphy were not quite sure that the liver was a very important factor

Paradoxical B12 deficiency may occur as a result of MTHFR because methionine synthase requires methylcobalamin to metabolize homocysteine

Int J Mol Sci (2021) 22(17):9229

The skin is then retracted, and the trapezius muscle scraped off the occipital bone