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Although the serum MMA concentration reflects an intracellular cobalamin deficiency, other causes of elevated MMA must be considered, such as renal failure, reduced plasma volume reduction, and abnormalities in hepatic methyl-malonyl CoA mutase activity [15,47]
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Quantity:2 pcs.
These roles help explain why B12 is included across many multivitamins and energy release-supporting formulations
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