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3 In B12 deficiency, methylmalonic acid (MMA) can accumulate, and it is thought that elevated MMA, alongside elevated homocysteine, contributes to damage of the myelin sheath (which protects nerve cells and speeds up nerve transmission), which can cause irreversible neurological problems
Fine-gauge needles for puncturing vial stoppers
B12 therapy works in much the same way
The optimal rate of weaning from anesthetic infusions is unknown
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