b12 megadose injection DEXA Scan 12 deficiency Vitamin B12 injections for MTHFR:

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Advanced liver disease can alter the levels of B12 binding proteins in the blood, making total serum B12 measurements unreliablelevels may appear normal or even elevated despite functional deficiency

Patients with significant anaemia may need electrolyte monitoring, particularly in the first week of treatment

Ethical approval The project has been reviewed by the University of Manchester Research Ethics Committee

Homocysteine can either be remethylated to methionine or metabolized to cysteine through a transsulfuration pathway requiring vitamin B 6