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(1999) Supplementation with vitamin B12 decreases homocysteine and methylmalonic acid but also serum folate in patients with end-stage renal disease

This recycling is carried out by a family of enzymes called glutathione peroxidases (GPx), and all of them require selenium as an essential cofactor

You may wish to ask your GP the following questions: Has my B12 level been checked recently , particularly if I have been on metformin for more than a year, or if I have symptoms or risk factors for deficiency

Recently, deficiencies of carnitine have been seen in people who avoid eating red meats in the diet.