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Other than that, low vitamin B12 levels are more common in those who are: Older than 65 years of age

It is a synthetic or man-made form of vitamin B12 that is available as both a prescription and over-the-counter (OTC) medication

A personalized medical assessment is critical before starting therapy

These technical challenges help explain why culturing Borrelia is rarely performed in routine clinical practice and why negative testing may not always answer every clinical question

Adv Pharm Bull 7:339348

Branched-chain amino acid metabolon: interaction of glutamate dehydrogenase with the mitochondrial branched-chain aminotransferase (BCATm) Journal of Biological Chemistry