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Although the serum MMA concentration reflects an intracellular cobalamin deficiency, other causes of elevated MMA must be considered, such as renal failure, reduced plasma volume reduction, and abnormalities in hepatic methyl-malonyl CoA mutase activity [15,47]

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Oral Vitamin B12: Effectiveness and Most Beneficial Users Oral B12 supplements are common and simple to take

People want to make sure they get a good quality supplement, looking for one that is: Gluten-free Free from fillers Non-GMO But equally as important is the form of B12 that you take

Recognising When Further Medical Advice Is Required