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Patients with pernicious anemia have an irreversible cause of deficiency, so its important to ensure other factors do not contribute to further deficiency progression
Vitamin B12 is not the only consideration but it does play a big role in how you respond to MTHFR treatments

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These reactions are primarily catalyzed by the enzymes ADH and ALDH (Figure 3)
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Powdered medicines may be prescribed that require a solvent to be prepared for injection
