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Step 2 Consider additional markers if borderline Your physician may also test methylmalonic acid (MMA) and homocysteine both rise when B12 is functionally deficient at the cellular level, even when serum B12 appears near-normal

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Improve Athletic Performance : Extra B12 does not provide an energy surge or improve performance in athletes with normal levels

Injections bypass the gastrointestinal tract and are the standard treatment for pernicious anaemia and severe deficiency in the UK

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Ergonomic Sleep : cervical support pillows to maintain alignment overnight