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Your goals, body composition, training history and full metabolic panel, including fasting glucose, HbA1c, fasting insulin, lipid panel, thyroid panel, IGF-1 and inflammatory markers, are reviewed before any prescription

However, MMA levels can be elevated in those with thyroid and kidney conditions, which limits the tests specificity (9, 10)

doi: 10.1016/j.jsbmb.2008.06.010

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However, persistently high serum B12 levels warrant medical investigation, as they may indicate liver disease, kidney dysfunction, or haematological disorders rather than simple overconsumption