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Vitamin B-12 is also essential for healthy blood cells and contributes to the health of the nervous system

Some clinicians prefer to use a methylmalonic acid (MMA) test in place of a homocysteine test, but MMA is also a non-specific biomarker

Yogurt Milk Cheese Fish Fortified cereals Beef Pork Poultry Ham Lamb As you can see, consuming enough naturally-occurring vitamin B12 would be difficult for people who adhere to a vegetarian diet and next to impossible without supplements for those who adhere to a vegan diet

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Patients on those medications should only receive B-Complex injections with close monitoring (and dosage adjustments of the anticonvulsant if needed)

Your doctor may either assure you that your B level is fine (so no B needed), or they will arrange B shots in tandem if necessary