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The Standard Failure: You have likely been put on heavy anti-seizure medications like Carbamazepine (Tegretol) or Gabapentin

High serum homocysteine levels may also be important in the pathogenesis of colon cancer, diabetic retinopathy, and other diseases

Reasons for exclusion were previous vitamin B12 injections within 12 months before the reference date (26 cases), documented alcohol abuse (16 cases), undergoing chemotherapy or hormonal therapy for a malignancy (9 cases), and no documentation that vitamin B 12 therapy was initiated (7 cases)