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Andersson, Emmanuel Shapira, Biochemical and clinical response to hydroxocobalamin versus cyanocobalamin treatment in patients with methylmalonic acidemia and homocystinuria (cblC), The Journal of Pediatrics, Volume 132, Issue 1, January 1998, Pages 121-124, ISSN 0022-3476, Gimsing P, Hippe E, Helleberg-Rasmussen I, et al

doi: 10.1111/j.1467-9868.2010.00746.x 31

Standard ranges fail to identify patients with subclinical vitamin B12 deficiency (which means many patients may not have full-blown symptoms of vitamin B12 deficiency but they do experience some) 3