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[1] [13] When B12 levels are borderline or clinical suspicion remains high despite normal B12, additional tests include: Holotranscobalamin (active B12) , which may be more sensitive in early or borderline deficiency Methylmalonic acid (MMA) and homocysteine levels, which become elevated in functional B12 deficiency (note that MMA is also elevated in renal impairment, and homocysteine rises in folate and B6 deficiency) Full blood count to identify macrocytic anaemia (elevated mean cell volume) Blood film examination may show hypersegmented neutrophils and megaloblastic changes Serum folate should be checked concurrently, as deficiencies often coexist Investigating the underlying cause is essential for appropriate management

PRECAUTIONS Doses of cyanocobalamin exceeding 10 mcg daily may produce hematologic response in patients with folate deficiency

Keep it up : Doing glutathione IV drips or glutathione injections regularly gives you the best results

10.1038/nature11582

Be sure to talk to your doctor before adding Focus Support or any other supplement to your regimen

As expected, the restriction of dairy products and ruminant meat from the diet can ameliorate the symptoms of this disease