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Finally, the combination of these two B12 forms provides the foundational building blocks for neurological repair

22,23 In patients with a normal or low-normal serum vitamin B 12 level, complete blood count results demonstrating macrocytosis, or suspected clinical manifestations, a serum methylmalonic acid level is an appropriate next step 1,2,6,18 and is a more direct measure of vitamin B 12 's physiologic activity

A licensed healthcare provider will review medical history, goals, and eligibility before making recommendations

In some cases, adjustments in the dosage or frequency of administration may be required for individuals with kidney disease