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From the start, in patients receiving supplementation, homocysteine concentrations dropped and continued to decline steadily over the course of the first three cycles of therapy, from a mean of 8.3 m/L to a mean of 6.9 m/L, and remained at that level

This can ultimately lead to anemia

Some of these symptoms can also happen in people who have a vitamin B12 deficiency but have not developed anaemia, said Dr Aravinda

doi: 10.1016/j.bcp.2017.11.007 101 KanntARajagopalSHallurMSSwamyIKristamRDhakshinamoorthySet al