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If you experience any severe or unusual symptoms after the injection, contact your healthcare provider or seek emergency medical assistance immediately

Am J Clin Nutr 2015;102:1468-74

THF plays an important role in DNA synthesis, so reduced availability of THF results in ineffective production of cells with rapid turnover, in particular red blood cells, and also intestinal wall cells which are responsible for absorption

It involves testing for methylmalonic acid, which is higher than normal when people have vitamin B12 deficiency