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It also helps to form myelin sheath to protect nerve cells and conduct nerve impulses, and lowers homocysteine levels thereby reducing the risk of strokes or heart attacks

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Hematocrit, reticulocyte count, vitamin B 12, folate and iron levels should be obtained prior to treatment

Cells were harvested by centrifugation at 10 C

Most manage well with fortified foods or a supplement, and the Vegan Society sets out simple oral options that work for the majority without any injection at all