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Those over the age of 50, where natural B-12 absorption declines

It is important to realize that the MTHFR status does not determine the type of B12 thats best for you, instead its the status and combination of genes like COMT , MTR , MTRR as well as VDR Taq

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If your doctor finds that you do suffer from pernicious anemia, it is important to discuss how you can handle it with effective medical treatments and avoid further damage

References Travell JG, S.D., Simons LS, Travell and Simons Myofacial pain and dysfunction: The trigger point manual

Beyond that, an excellent way to help maintain these levels might be monthly IV infusions of some of the micronutrients that cannot be absorbed with oral supplementation