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Approximately one year later, he experienced a severe worsening of his previously very mild neuropathy, and lab evaluation yielded a serum B12 of 220 pmol/l (which is normal, remember!?), but an elevated serum MMA of 1300 nmol/l, supporting the existence of true B12 deficiency

Landrigan PJ (2004) Children as a vulnerable population

Statements Author contributions TY: Writing original draft, Writing review and editing, Data curation, Methodology, Supervision, Formal Analysis, Project Administration, Investigation, Resources, Software

Many of these customers migrated to other vendors, increasing scrutiny of supplier quality practices across the industry