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To dig deeper, doctors often check methylmalonic acid (MMA) and homocysteine levels , as both tend to rise when B12 is lacking

Symptoms of Vitamin B12 Deficiency The human liver stores several years worth of vitamin B12, so having a deficiency isnt very common but lots of people have lower levels

The therapeutic goals of B 12 treatment are the reversal of metabolic abnormalities and the prevention or reduction of clinical symptoms (fig 1)

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