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Description
At the current presentation he has serum B 12 (209 pmol/L), which is within the normal range (148-600 pmol/L), however MMA is elevated at 1100 nmol/L (a measurement taken in 2017 was 117 nmol/L, normal A) and vitamin B 12 in Europe and West Africa Am J Clin Nutr 2012;95:514-21
Cells characterized by rapid division (epithelial cells, bone marrow, myeloid cells) appear to have the greatest requirement for cyanocobalamin
When breastfeeding Vitamin B12 deficiency in nursing infants has been linked to developmental delay
How to prevent further deficiency
