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Health practitioners trained in functional medicine will see slight elevations in MCV, MCH, and MCHC and be suspicious of functional methylation issues

It is a quinolinium salt substituted at position 5 with an amino group and at position 1 with a methyl group

In addition to this, vitamin B12 deficiency in the elderly has been associated with many health problems like elevated blood levels of homocysteine that could increase their chances of developing heart disease, stroke, and Alzheimer's disease

Furthermore, some enzyme deficiencies, such as G6PD deficiency and pyruvate kinase deficiency, which affect the red blood cells, are inherited

For a comprehensive understanding of all potential side effects, consult a medical professional