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In a case series study from New York of people with overt neurological symptoms from B12 malabsorption, MMA levels ranged from 755 to 187,000 nmol/l (Lindenbaum, 1988)
Ask how diet, exercise, or behavioral support will be integrated alongside medication for the best long-term results
Thymosin Alpha-1 (Zadaxin) is an approved drug for chronic hepatitis B (and hep C outside the US) and during cancer chemotherapy induction
Assess serum B12 level one month after each dose adjustment.If serum B12 levels are persistently low, consider alternative therapy (e.g., intramuscular or subcutaneous vitamin B12 therapy)
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