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antipsychotics that the pharmaceutical companies profit from) and most psychiatrists these days are not able to think-outside-the-box, beyond psycho-pharmaceuticals

Again, both pathways are impaired, and the accumulated homocysteine is transported into the blood

If the liver is harmed then this storage can be affected

If your symptoms fit a deficiency but the number looks normal, doctors can check active B12 (holotranscobalamin) or methylmalonic acid, which reveal whether your cells are actually short of usable B12

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