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57 Positive effects of B12 on homocysteine levels have also been observed in other patient populations, including healthy adults, 46 vegetarian women, 58 generally healthy women, 59 older adults with elevated MMA and homocysteine, 37 and patients with type 2 diabetes mellitus

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But experts believe real numbers are significantly higher, because deficiency builds silently over months and its symptoms are easy to dismiss as fatigue or stress