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Common Causes of Vitamin B12 Deficiency B12 deficiency arises when the body either does not receive or cannot process enough of this nutrient
doi: 10.1126/scitranslmed.aab2009
Guidelines from the British Committee for Standards in Hematology suggested the use of total serum vitamin B 12 as the first-line test, with MMA as the second-line test (Devalia et al., 12 does not reflect cellular, genetic, and pharmacological disturbances that lead to functional vitamin B 12 deficiency
