A multivitamin may be considered for patients with significantly reduced food intake or documented nutritional gaps, though the US Preventive Services Task Force notes insufficient evidence for routine multivitamin use in generally healthy adults
Recommended treatment protocol: 1000-2000 mcg of B12 given through injections or under the skin, at first daily or weekly
Babinski, J
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This is sometimes referred to as a methyl trap, where folate becomes functionally unavailable without sufficient B12, and vice versa
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