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(Read our Ask An Expert article on the MTHFR gene for further information.) Methylfolate, the active form of folic acid, plays a role in converting homocysteine into methionine, an essential amino acid in humans

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[51] Diagnosis [edit] According to one review: "At present, no 'gold standard' test exists for the diagnosis of vitamin B 12 deficiency and as a consequence the diagnosis requires consideration of both the clinical state of the patient and the results of investigations." [52] The vitamin deficiency is typically suspected when a routine complete blood count shows anemia with an elevated mean corpuscular volume (MCV)

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