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Although the marketing machines behind these products claim Spirulina has ample B12, these plants actually contain fake B12, which can test as B12 in some labs.t Additional research has shown these are false positives, and the actual B12 count is very low

An important note on folate: if B12 deficiency is suspected, folate deficiency should not be corrected in isolation before B12 status has been assessed and treated, as doing so can precipitate or worsen neurological complications

Of all vitamins, B12 is the largest and most complex in structure

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We also look at methylmalonic acid (MMA) or homocysteine levels sometimes