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Vegans and vegetarians may require a different approach, which could include oral supplements alongside injections, based on blood test results and dietary intake

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Some New Delhi and Mumbai-based chemists also bring treatments from countries such as United Arab Emirates or Egypt, and sell bulk packs for cash, according to an investigation published in March by India Today

Additionally, a randomized, double-blind, placebo-controlled trial in 2,588 healthy older adults with mild hyperhomocysteinemia found that daily supplementation with 500 g of vitamin B 12 and 400 g of folic acid for two years reduced blood homocysteine concentrations but had no benefit on depressive symptoms in those with or without depressive symptoms at baseline (110)