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While elevated MMA blood concentration is considered the specific indicator of deficiency (19), other clinical assays are often used as biomarkers of vitamin B 12 status sometimes in combination

[103] Most people with myelodysplastic syndrome develop this state at some point in time
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Bettelli E, Korn T, Oukka M, Kuchroo VK

Gas chromatography-mass spectrometry is also used

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