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Consent for publication All participants included in this study provided written informed consent

J Clin Psychiatry

Why to avoid with MTHFR: Requires multiple conversion steps to become active MTHFR mutations impair these conversions Contains cyanide (though small amount) Least bioavailable form Found in most cheap multivitamins and fortified foods Bottom line: Choose methylcobalamin, hydroxocobalamin, or adenosylcobalamin instead

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