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Since B 12 deficiency results in MMA accumulation before B 12 reduction is seen in the serum [132], methylmalonic acid is a better indicator and preferred marker reflecting B 12 status before B 12 deficiency appears [120]

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Retrieved 11 February 2026

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What is the best time to visit the Salar de Uyuni

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With decades of experience and a trusted reputation, The Remedy Room continues to be a center for safe and effective therapies

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Pathological causes of elevated B12 warrant careful consideration: Haematological disorders : Myeloproliferative neoplasms (polycythaemia vera, chronic myeloid leukaemia), acute leukaemia, and lymphoproliferative disorders can increase B12-binding proteins (transcobalamin and haptocorrin), elevating total serum B12 [3] Liver disease : Hepatocellular damage releases stored B12 into circulation

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Your provider will consider this when determining the frequency of injections

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