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P 35 kg m 2 , WC is more difficult technically and, thus, less accurate as a risk predictor 4,25,26

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Although the serum MMA concentration reflects an intracellular cobalamin deficiency, other causes of elevated MMA must be considered, such as renal failure, reduced plasma volume reduction, and abnormalities in hepatic methyl-malonyl CoA mutase activity [15,47]

The possibility of bruising increases if youre taking a medication or supplement that thins the blood like warfarin, Coumadin, aspirin, fish oil, Ginkgo Biloba, or garlic