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[DOI] [PubMed] [Google Scholar] 74.Goh WH, Khong PL, Leung CS, Wong VC

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3 In B12 deficiency, methylmalonic acid (MMA) can accumulate, and it is thought that elevated MMA, alongside elevated homocysteine, contributes to damage of the myelin sheath (which protects nerve cells and speeds up nerve transmission), which can cause irreversible neurological problems

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