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J Clin Biochem 1984;17:99-107

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[DOI] [PubMed] [Google Scholar] 50.Hibuse T, Maeda N, Funahashi T, Yamamoto K, Nagasawa A, et al

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Regular monitoring of your clinical symptoms and specific biomarkers (such as methylmalonic acid (MMA) and homocysteine ) is essential because blood tests can sometimes show normal B12 levels even if you are experiencing deficiency symptoms [8] [9]