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For each eligible study, two authors (MM and AN) independently extracted data, which was then reviewed by a third author (JV) using a piloted spreadsheet, in accordance with Cochrane Collaboration guidelines ( Where relevant data were missing, attempts were made to contact corresponding authors

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Best For Low energy, metabolic support, nutrient deficiency Method Intramuscular Vitamin B Complex injections Eligibility for HSA or FSA reimbursement depends on your individual plan and medical necessity

A normal serum B12 of 350 pg/mL with elevated MMA is still deficiency