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After introduction of animal food, the cobalamin level increases and peaks at 37 years and then decreases, median plasma tHcy decreases and remains low until 7 years when it starts increasing, whereas median plasma MMA decreases after 12 months and remains low throughout childhood (Monsen et al., 2003)

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Intramuscular hydroxocobalamin injections bypass the digestive system entirely, delivering B12 directly into the bloodstream for patients unable to absorb oral supplements effectively