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Research Note: A 1998 study in The Journal of Immunology by Malinda et al
doi:10.3390/molecules191119066
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An elevated methylmalonic acid (MMA) level has been thought to be the most direct, metabolic indicator of B12 deficiency because B12 is the only cofactor required by the enzyme that degrades MMA
doi:10.1053/j.gastro.2021.06.078
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