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Most people with an MTHFR gene variation don't develop health problems.

Institute for Health Metrics and Evaluation

You can resume your normal activities immediately after

The foods highest in vitamin B12 are: Organ meats, such as beef and chicken liver Wild-caught fish, including salmon, herring, mackerel, tuna, trout and sardines (also great sources of other vital nutrients, like omega-3 fatty acids) Organic dairy products, including probiotic-rich yogurt or raw milk Pasture-raised poultry, including turkey or chicken Grass-fed beef and lamb When its not possible to get enough vitamin B12 from your diet, perhaps due to genetic conditions or taking necessary medications, someone might choose to boost intake of vitamin B12 in several ways other than receiving injections