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If symptoms suggest deficiency but serum B12 looks normal, ask for a methylmalonic acid (MMA) test it detects cellular deficiency earlier
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The patient had been on metformin for more than 20 years, recently discontinued due to well-controlled HbA1c levels ( Figure 1 )
Heres how it works: Fat-Burning Power The amino acid Methionine stimulates the liver, breaking down stored fats, which helps lower cholesterol and fights fatigue
