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[1] [2] Elevated methylmalonic acid levels may also indicate a deficiency

Private treatments making unsubstantiated claims should be approached with caution, and patients should verify that practitioners are appropriately qualified and insured

This can be due to a number of reasons, such as a lack of B12 in the diet, reduced stomach acidity, or when particular cells in the stomach - the "parietal" cells - do not produce enough intrinsic factor

This is an advanced protocol requiring more monitoring

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Semaglutide is one comparison they may consider