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2017 Feb Neetu Kataria, Poonam Yadav, Rajesh Kumar, Niraj Kumar, Mritunjai Singh, Ravi Kant, Vasantha Kalyani

The underlying anemia can also cause paleness

[PubMed] [Google Scholar] 41.Jung SH, Cho YS, Jun SS, Koo JS, Cheon HG, Shin BC

Although we performed multivariate adjustments, residual confounding may persist due to unmeasured factors such as dietary habits (e.g., irregular intake of animal-derived foods or B12-fortified products), unrecorded use of nutritional supplements, and genetic predispositionsparticularly MTHFR polymorphisms, which are known to influence homocysteine metabolism and folate cycling, thereby potentially altering the functional demand for vitamin B12

On top of that, low B12 contributes to high homocysteine levels

A lipotropic B12 injection combines vitamin B12 with lipotropic nutrients