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Description
D51.9 Vitamin B12 Deficiency Anemia, Unspecified Use when low B12 is confirmed as the cause of anemia, but the specific mechanism is not documented in the record

An autoimmune disease is where the immune system attacks its own cells
Metabolism: A faster metabolism may move through the vitamin more quickly

Serum MMA of 100 to 750 nmol/L, urine MMA of 1 to 4 nmol/L, and serum homocysteine of 6 to 29 mol/L are the reference ranges for most methods.10 If the normalisation of elevated serum homocysteine and MMA levels in response to vitamin B 12 replacement therapy is used as a diagnosis of deficiency, up to 50% of patients may be missed when the diagnosis is based on low vitamin B 12 level (150 pmol/L) alone.18 19 Rise in homocysteine level before increase in MMA is an early indicator of vitamin B 12 deficiency

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doi: 10.1016/j.redox.2017.08.019
