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doi:10.1158/1940-6207.CAPR-21-0040 Sarkar RR, Patel SH, Parsons JK, et al

Limitations: FDA Category 2 substance

"Hyperhomocysteinemia and elevated methylmalonic acid indicate a high prevalence of cobalamin deficiency in Asian Indians"

Additionally, those with surgical removal of the ileum face significant barriers to absorption, making injections essential for maintaining healthy levels
