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[DOI] [PubMed] [Google Scholar] 9.Colberg SR, Sigal RJ

Both homocysteine and MMA levels can be elevated in renal insufficiency, hypovolaemia, and inherited metabolic defects.12 Although elevated homocysteine and MMA levels can aid in the diagnosis of vitamin B 12 deficiency in people with normal serum vitamin B 12 levels, there are concerns about these metabolite assays

Note that you can have B12 deficiency symptoms long before it progresses to anemia

Increase of Fat Oxidation and Weight Loss in Obese Mice Caused by Chronic Treatment with Human Growth Hormone or a Modified C-terminal Fragment
