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This test evaluates the average size of your red blood cells, the higher your MCV is the bigger your red blood cells get (this isnt a good thing) and only a few things cause this problem (12), vitamin B12 deficiency, and folic acid deficiency being the most common

PMID: 18061177

However, due to its synthetic nature it is also the least bioavailable and active (Hunt, Harrington and Robinson, 2014) Methylcobalamin: The first of our non-synthetic forms of B12 is methylcobalamin, a naturally occurring co-enzyme