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Description
Low B12 with elevated MMA or homocysteine indicates functional deficiency
B vitamins are depleted under stress, and may also depleted if taking metformin and certain other medications
Open dialogue is essential to ensuring patient safety in an environment where access to unregulated compounds is increasingly common
diseases of the liver, kidneys and the blood (such as leukaemia) can be considered potential reasons for an increased B12 blood level (1-4)
16 Thrombocytopenia and leukopenia may also be present, though they are typically not severe
