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I do not order MMA as a routine test because it adds cost without changing management in most cases

24 Table 3 Estimated Sensitivity and Specificity of Serum Laboratory Tests for Vitamin B12 Deficiency Pernicious anemia refers to one of the hematologic manifestations of chronic auto-immune gastritis, in which the immune system targets the parietal cells of the stomach or intrinsic factor itself, leading to decreased absorption of vitamin B 12

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Peptides are short chains of amino acids (the building blocks of proteins) that can have a range of effects on the body