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Treatment typically involves vitamin B12 supplementation, either through oral supplements or injections, depending on the severity of the deficiency and underlying causes.

The CDC also reports that increased folic acid intake in pregnant people with an MTHFR variant can also help reduce the risk of NTDs in their baby

Injection typically offers faster absorption and more predictable dosing, while oral provides convenience for injection-averse patients

Lifestyle Considerations Lifestyle choices can significantly impact Vitamin B12 levels

Also taking nystatin for the oral thrush which is helping

NNMT regulates methylation of nicotinamide, influencing intracellular pools of NAD+, a central cofactor in metabolic pathways