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Description
In a case series study from New York of people with overt neurological symptoms from B12 malabsorption, MMA levels ranged from 755 to 187,000 nmol/l (Lindenbaum, 1988)

Most people report improvements in symptoms right after receiving B12 injections
Ensuring adequate vitamin intake of both B12 and D is a great way to keep your energy levels steady
In cohort 2, most patients were also female (68.1%), and the mean age was 50.6 (SD, 14.4)

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J Leukoc Biol (2021) 110(1):2126