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If deficiency drove weight loss, expect restoration

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Others transition to less frequent maintenance or shift to oral support once levels and symptoms normalize

Some have reported that serum MMA and homocysteine levels increase with age and the prevalence of elevated MMA and homocysteine levels is higher than the prevalence of low vitamin B 12 or clinically evident vitamin B 12 deficiency in the elderly.19 20 21 22 In this regard, using the assay for metabolites alone may result in overdiagnosis and overtreatment