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October 20, 2021 blood tests: serum B12: 281 pmol/l serum methylmalonic acid: 148 nmol/l serum homocysteine: 10.4 mol/l October 20 (after blood draw): Began daily intake of Deva multivitamin containing 6 g of B12 and 60 mg of vitamin C, with no other source of B12

Stir thoroughly for at least 2 minutes to ensure even distribution

Background references Z

Protein Sci ., 4 , 44-57

doi: 10.3748/wjg.v11.i45.7078, 25

Missing a single injection doesn't reverse fat metabolism pathways, but missing more than two consecutive weeks may reduce cumulative benefit, particularly if you're in a steep caloric deficit that depletes baseline methionine and choline stores faster than dietary intake replenishes them