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Homocysteine is important to test in conjunction with MMA as a high level indicates a possible methylcobalamin deficiency, this is the second form of B12 that is important for methylation in the body, along with DNA/ RNA repair

And because B12 is water-soluble, any excess amounts are flushed out with the urine, so its very safe

If you're curious whether this treatment could work for your situation, reach out to schedule a consultation at our Rego Park location

The approaches work through different mechanisms and tissue concentrations

However, due to uncertainties and lack of evidence on multiple aspects related to the diagnosis and treatment of vitamin B12 deficiency, widely accepted guidelines are still needed due to between-country differences in medical practices, healthcare systems, and generally limited resources
