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For now, FTPP remains primarily a research tool

Importantly, serum B12 levels can be misleadingly normal or even elevated in chronic liver disease due to increased levels of binding proteins (such as haptocorrin) and reduced clearance, meaning that total B12 measurements may not accurately reflect tissue B12 status or functional deficiency
Research indicates that both intramuscular and high-dose oral vitamin B12 are effective in normalizing serum levels and improving clinical outcomes

A small difference in terminology can lead you to a completely different code

It has also been shown to interact with the NO system, providing endothelial protection and angiogenic effects even in severely impaired conditions
