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In such cases, someone with the MTHFR gene variation may seem to have elevated levels of B12 (as well as elevated levels of homocysteine), but will actually have low levels of B12 in the form that their body can utilize

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BMC Public Health (2012) 12:394.10.1186/1471-2458-12-394 Summary Keywords oral vitamin B12, pernicious anemia, mecobalamin, cobalamin, cyanocobalamin Citation Chan CQH, Low LL and Lee KH (2016) Oral Vitamin B12 Replacement for the Treatment of Pernicious Anemia