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It is also most useful in the maintenance of the nervous system, assisting memory and learning

[2] However, elevated MMA is not conclusive, as it is seen in people with B 12 deficiency, but also in elderly people who have renal insufficiency, [28] and elevated homocysteine is not conclusive, as it is also seen in people with folate deficiency

If you have been on long term medication like omeprazole or lansoprazole, have had a poor diet or are vegan/vegetarian you may benefit from having a course of Vitamin B12 Injections

Test small topical patches before broader application

This testing is added based on the criteria described above in When to test. In people without Down syndrome, studies have demonstrated that red blood cell folate and serum folate testing provide equivalent data