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Standard folate blood tests fail to detect this deficiency, leading to misdiagnosis and untreated cognitive, motor, and behavioral impairments

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[1] [2] Elevated methylmalonic acid levels may also indicate a deficiency

Systemic Site of Action The large surface area of the lungs (70 m 2 in an adult) available for absorption can lead to a rapid increase in systemic concentration and hence rapid onset of action at distant effect sites

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And most guides online skip the practical details that actually matter, like how many weeks one vial lasts or what happens when you accidentally add too much bacteriostatic water