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A couple of studies found no benefits of B12 for lowering homocysteine in HD patients, one used oral B12, 2000 g three times per week for 6 weeks, 55 the other used methyl-B12 i.m

[DOI] [PMC free article] [PubMed] [Google Scholar] 4.Agarwal P., Friedman K.J

Thus, to what extent we can fit theory to the data depends on the accuracy of not only the concentrations as a function of pH, but also on the accuracy of the measured solubility of the very low solubility Nic OH species and, if available, on measuring or calculating the pKa itself

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The problem is not the medication alone