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Elevated homocysteine and methylmalonic acid (MMA) are biomarkers of functional B12 insufficiency
Its often recommended for people who have trouble converting Cyanocobalamin into its active form
While none of these outcomes are guaranteed, the possibility of meaningful changes gives families a reason to consider this option under professional guidance
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But the compound, given twice weekly, did not help those people whose symptoms were evident for between one and three years, and no one showed significant benefits
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