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Because B12 is water soluble, the body doesnt store large amounts of it long-term the way it stores fat-soluble vitamins, which is one reason ongoing dietary intake or supplementation matters for some people more than others

Treatment of Vitamin B12 Deficiency in Pregnancy After a deficiency is confirmed through blood tests like CBC, serum B12, and elevated MMA or homocysteine levels, your provider will determine the best course of treatment [*]

Sports Health, 17 (2), 299-304

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Nicotinamide N-methyltransferase (NNMT) in health and disease. Cellular and Molecular Life Sciences, 78, 62416257