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For example, a meta-analysis found that two copies of the MTHFR C677T variant (A/A, homozygous) increase the relative risk of heart disease by 38%.[ref][ref] However, not all studies agree, and a large prospective study (n=6,000) found that older people with two copies of the C677T allele were at a 30% decreased risk of death from cardiovascular disease when other parameters were included.[ref] The increased risk is not just due to high homocysteine

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Fortunately, advances in pharmaceutical compounding now offer patients and practitioners an alternative: Cyanocobalamin combined with Salcaprozate Sodium (SNAC) , an oral formulation shown to be comparable to traditional intramuscular (IM) injections