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These include: Vegetarians and Vegans : This is because the vitamin only occurs naturally in animal products

Other reports, however, propose that an increase in plasma or serum MMA during pregnancy is normal and does not reflect a low vitamin B12 status and caution that serum MAA may not be a reliable biomarker of vitamin B12 status among pregnant women (Bae et al., 2015)

Del bo' C, Riso P, Gardana C, Brusamolino A, Battezzati A, Ciappellano S

Resources We Trust Cleveland Clinic: Ileostomy University of Chicago Medicine: What to Expect Before and After Ostomy Surgery Bladder & Bowel Community: What to Expect After Your Stoma Surgery National Health Service: How an Ileostomy Is Done MedlinePlus: Ileostomy Ira Daniel Breite, MD Medical Reviewer Ira Daniel Breite, MD, is a board-certified internist and gastroenterologist