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Measuring MMA levels improves diagnostic sensitivity and specificity for cobalamin deficiency not only because Hcy elevation can occur in various conditions, but also because approximately 50% of cobalamin-deficient patients may have normal serum cobalamin levels leading to under-diagnosis (Romagnolo et al

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If you’re experiencing several symptoms of a B12 deficiency, consult a healthcare provider and request a blood test to check your B12 levels