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Result: Both types of medications may lead to low vitamin B12 levels and deficiency symptoms, particularly if taken for an extended period.

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There was no history of smoking, alcohol, or illicit drug use and no family history of blood disorders

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That is why it is important to measure both B12 and MMA at the same time, as an elevated MMA can indicate B12 deficiency even if the B12 is normal. When the levels come back, ask to see them yourself and ask questions of your doctor if there is any question of normal B12 metabolism. In my case, my B12 levels were very low and my MMA levels were very high, indicating B12 deficiency