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Vitamin B12 and folic acid Both nutrients have a major influence on the methylation cycle and should be measured if a methylation disorder is suspected

Hence, in vitamin B 12 deficiency, multi-organ systems can be affected and hence associated with wide spectrum of clinical manifestations

Doctors might change this based on how well the patient is doing

Also known as histamine H2-receptor antagonists (H2RAs), these are used to treat duodenal ulcers and gastric ulcers and can reduce circulating B12 concentrations with prolonged use

Vitamin B12 injections can help a deficiency, but a person with an average B12 level can replete himself by not taking supplements and eating foods rich in B12

Cyanocobalamin has established antiemetic properties