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Elevated MMA levels (greater or equal to 0.4 mcmol/L) may be a more reliable indicator of B12 status, because it indicates metabolic changes more specific to B12 deficiency.4 Norris recommends MMA and serum vitamin B12 tests for vegans, adding, You dont need to get tested just because youre vegan

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Prevention of vitamin B-12 deficiency in old age

Importance of Addressing Vitamin B12 Deficiency While treatments for B12 deficiency have historically focused on the elderly, recent research highlights the prevalence of low B12 levels among younger individuals