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In an attempt to assess the impact of this fortification, Brito and colleagues (29) assessed the effect of a single intramuscular injection of 10 mg vitamin B-12 (plus 100 mg vitamin B-6 and 100 mg thiamin) in 51 Chilean asymptomatic vitamin B-12deficient older adults on changes in vitamin B-12 status determined by a combinedvitamin B-12 (c-B12) index, a calculated measure that combines the 4 blood biomarkers of vitamin B-12 status: total vitamin B-12, holotranscobalamin (holoTC), tHcy, and MMA (48)

This makes it harder to get vitamin B12 from food, raising the risk of deficiency

Link about writing letters to GP about B12 deficiency b12deficiency.info/writing-

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