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For patients whose levels fall in the borderline or gray zone, a methylmalonic acid (MMA) test provides greater specificity MMA levels rise when B12 is functionally inadequate at the cellular level, even if serum B12 appears borderline normal

The primary risks are associated with unsupervised self-administration using unregulated research compounds

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You might feel a quick pinch or light pressure, but discomfort is minimal

Its very rare to have high levels of B12

Although these therapies are often discussed together, they work through very different biological pathways