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When your cells are starved for usable B12, the levels of MMA and homocysteine in your blood go up

But medical experts describe the marketplace as a Wild West of unproven, unregulated drugs that could cause serious harm, including infection, allergic reactions or other problems

The brand's own materials also flag that some options aren't appropriate for patients who are pregnant or trying to conceive, and that eligibility and specific therapy selection are determined case-by-case rather than through a one-size-fits-all protocol

Lower doses become harder to measure precisely

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