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Importantly, functional B12 deficiency can sometimes coexist with high total B12 levels, especially in kidney disease, and may require additional testing with methylmalonic acid (MMA) or holotranscobalamin if deficiency is suspected clinically
You guide them to the right place with clear orders
The lyophilized cake (freeze-dried powder) is far more stable because removal of water suppresses hydrolysis and the rate of most oxidative reactions
They did blood tests before the loading doses and blood tests after and miraculously the condition which they said they had no idea how to cure, was gone and my husbands blood went back to normal
Diagnosis is supported based on vitamin B 12 blood levels below 150180 pmol/L (200250 pg/mL) in adults
the messenger still gets the job done, but it might take a bit longer for the message to reach the repair team
