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We also look at methylmalonic acid (MMA) or homocysteine levels sometimes

In general Oral supplements must be digested and absorbed by the body, and to survive through the the process

Although the marketing machines behind these products claim Spirulina has ample B12, these plants actually contain fake B12, which can test as B12 in some labs.t Additional research has shown these are false positives, and the actual B12 count is very low