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Formulation matters too

Big picture, high levels of homocysteine have been linked to pregnancy loss, preterm delivery, restricted fetal growth, preeclampsia and other cardiovascular complications

Is lab testing required before starting

Sadly some people with "traditional P,A." either do not produce Intrinsic Factor or if they do, they also produce an antibody which destroys it and it is then called "Autoimmune Pernicious Anaemia"

Many supplements, such as folinic acid, vitamin B12, omega-3 fatty acids, and antioxidants, are thought to improve core symptoms by enhancing neurochemical balance, protecting against oxidative stress, and supporting brain growth