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[DOI] [PubMed] [Google Scholar] 7.Boxmeer JC, et al

The authors attributed the changes in homocysteine levels primarily to vitamin B 12 (92)

However, systematic reviews and randomised controlled trials supporting these claims are notably absent from peer-reviewed literature

Malabsorption (insufficient absorption of vitamin B12in the intestine) through, Insufficient production of intrinsic factor (a protein that is formed in the gastric mucosa and isrequiredfor the absorption of vitamin B12), Diseases in the terminal segment of the ileum (part of the small intestine), e.g

For pernicious anaemia or malabsorption conditions, intramuscular hydroxocobalamin injections are the standard treatment, usually given every 2-3 months after an initial loading regimen