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This is a dietary supplement, however, not a medication

Because of the disappointing results of clinical trials, minimizing homocysteine levels is no longer the primary goal of our recommendations

Your GP may need to check for co-existing deficiencies (folate, iron, vitamin D) or investigate alternative causes for your symptoms

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A strict vegan or vegetarian diet that excludes all animal foods does not, unless it includes regular fortified foods or B vitamin supplements