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Step 2 Consider additional markers if borderline Your physician may also test methylmalonic acid (MMA) and homocysteine both rise when B12 is functionally deficient at the cellular level, even when serum B12 appears near-normal

Oncologist 20 , 660673 (2015)

Eckburg PB, Bik EM, Bernstein CN, Purdom E, Dethlefsen L, Sargent M et al (2005) Diversity of the human intestinal microbial flora

Adding Tesofensine can provide the sympathetic drive needed to increase resting energy expenditure, while adding 5-Amino-1MQ can optimize cellular metabolism, effectively breaking the plateau without compromising patient comfort