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Serum MMA may also be elevated in thyroid disease, bacterial overgrowth in the small intestine, pregnancy, or a rare genetic disorder in infants called methylmalonic acidemia

[DOI] [PMC free article] [PubMed] [Google Scholar] 42.Chen I.J., Liu C.Y., Chiu J.P., Hsu C.H

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Moreover, the MeD positively influences the composition and health of gut microbiota, also supporting the functional and anatomical integrity of the intestinal barrier and proper immune stimulation [189]

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