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[5] [4] Elevated homocysteine has been associated with cardiovascular concerns, though the clinical significance of supplementation remains under investigation

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Notably, the addition of 1 nM of vitamin B12 to blood cultures from individuals with VCD normalized the mRNA levels of CCL11 , upregulated the neuroprotective HGF , and, to a lesser extent, downregulated CSF2 and CXCL10

As far as I know treatment patterns for children are similar