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It can come from any number of problems

Since many of my patients have MTHFR mutations ( gene mutations that make it more difficult for the body to convert cyanocobalamin into an active form of B12 ), I prefer to avoid this type of B12 supplementation

These labs follow guidelines to ensure compounded medication safety and quality

For example, the statin you take to guard against high cholesterol interrupts your cholesterol production and has nothing to do with your immune system, says William Schaffner, M.D., an epidemiologist and professor of preventive medicine and health policy at Vanderbilt University

The notation c.11381-?_11524+?del describes a deletion of exon 35 detected via MLPA with the ? indicating that it is unknown how far into the neighboring introns the deletion extends
