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This study had some limitations: We only relied on blood B 12 concentration, while serum holotranscobalamin, homocysteine, and methylmalonic acid levels may be considered more reliable indicators of B 12 deficiency than the concentration of B 12 in blood

In post #198, I described what i did preventatively before and during dose 2

I had the best knees during the flight but then woke up with NO PAIN and Im going to figure out how to get back to Nashville more often

Role in the Body & Energy Production Vitamin B plays several vital roles that underlie its effect on energy and vitality: Red blood cell (RBC) production: B12 is needed for DNA synthesis in bone marrow