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When BTT coexists with Vit B12 deficiency, the low MCV in BTT is balanced by a high MCV in Vit B12 deficiency resulting in normalization of MCV

Hands down, injection is the way that its been studied and should be delivered, he adds

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Methylcobalamin is best, unless you suffer from Lebers hereditary optic neuropathy (1 in 30,000 to 50,000 people), where hydroxy B12 is safer

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