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Most of that nausea is mild to moderate and concentrated in the first few weeks of each dose escalation

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In the absence of impaired kidney function, an elevated MMA level in conjunction with elevated homocysteine suggests either a vitamin B 12 deficiency or a combined vitamin B 12 and folate deficiency (32)

Vitamin B12 in particular has been linked to increasing fertility in women undergoing IVF or other fertility treatments, whereas low levels of B12 have been linked to female infertility

its usually administered intramuscularly or subcutaneously in doses like 1,000 mcg for deficiency, on its own

The solution is typically administered through injection using a syringe