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Large doses of folic acid may also partially mask or worsen vitamin B deficiency by correcting anemia while allowing neurological damage to progress

Intake of higher doses doesnt appear to be associated with detrimental health problems.2 The VNDPG recommends the following B12 guidance2: All vegetarians, regardless of type, should periodically be screened for B12 deficiency, using either methylmalonic acid (MMA) or TCII (transcobalamin) assessment

The Methionine Cycle As indicated above, the methionine cycle is the central aspect of the methylation cycle and is therefore sometimes referred to as the methylation cycle alone

Immunometric assay of low molecular weight haptens containing primary amino groups

Patient selection and protocol design matter more than dose alone

Create Follow-Up Touchpoints Make sure you have reminders, texts, check-ins, and follow-up visits locked into your EHR and scheduling