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[2] For this reason, elevated serum homocysteine over 15 micromol/L and methylmalonic acid (MMA) over 0.271 micromol/L are considered better indicators of B 12 deficiency, rather than relying only on the concentration of B 12 in blood

Then maintenance treatment can begin

By blocking the primary drain on cellular NAD+, researchers can observe enhanced mitochondrial function and improved resistance to metabolic stress

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In such cases, Vitamin B12 shots offer a direct and efficient method of supplementation