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For patients whose levels fall in the borderline or gray zone, a methylmalonic acid (MMA) test provides greater specificity MMA levels rise when B12 is functionally inadequate at the cellular level, even if serum B12 appears borderline normal
This keeps draw volumes manageable even at the maximum 12 mg dose (0.60 mL = 60 units)
Is a prescription necessary
Neurologic manifestations may not reverse with vitamin B12 therapy, so prompt recognition and treatment are needed to avoid permanent disability
American Regent, Inc
Care at Home: Complement your Lipo B12 treatments with a balanced diet and regular exercise
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