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These pre-methylated and pre-activated formulations of B12 are also SAFE to use if you have the MTHFR genetic mutation

Its key to taking steps to prevent it

I thought about writing to the practice manager to ask why giving me my injection a day earlier rather than leaving me till five days after it was due was fair

Your provider will discuss when you should switch to maintenance, but we do not recommend weekly injections longer than a 12 week cycle

These include: Older adults on PPIs or H2 receptor antagonists Diabetic patients on metformin for a long time People with gut disorders that affect nutrient absorption Its important to check these individuals B12 levels to avoid deficiency