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Other more sensitive tests are now available, which test for serum methylmalonic acid and serum homocysteine levels

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1MD Nutritions B12 provides the active coenzyme Methylcobalamin, a vegan bioidentical form of vitamin B12, to promote optimal heart health.* An essential enzyme involved in DNA synthesis, fatty acid, and amino acid metabolism, B12 also supports cognitive health, fuels proper energy production, nerve and metabolism function, and supports immune system health*

[2] For this reason, elevated serum homocysteine over 15 micromol/L and methylmalonic acid (MMA) over 0.271 micromol/L are considered better indicators of B 12 deficiency, rather than relying only on the concentration of B 12 in blood