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The intramuscular route ensures consistent, reliable delivery of B12, independent of gastrointestinal absorption

If B12 levels are low but still in range indicating a functional deficiency (this is a deficiency but blood tests appear in normal range) then second line testing of homocysteine and MMA can confirm B12 and/or folate deficiency

This reinforces how communication between the host and the microbiota occurs in a bidirectional manor
