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They also may monitor B12 in patients with medical conditions, such as anemia, and in those who have adopted a vegan diet

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Inadequate function of methionine synthase can lead to an accumulation of homocysteine, which has been associated with increased risk of cardiovascular disease and age-related neurodegenerative disease (e.g., Alzheimers disease)

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So no alcohol the day or injection and drink lots of water