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Three of the 5 patients experienced increases in both serum tHcy and serum MMA, which were reduced significantly upon vitamin B-12 administration (46)

In some centres, holotranscobalamin (active B12) may be available as an alternative test

Research from the STEP trial program shows that 1.0 mg is where the dose-response curve starts to steepen meaningfully

Semakova J, Hyrossova P, Mendez-Lucas A, Cutz E, Bermudez J, Burgess S, Alcantara S, Perales JC

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Our cosmetic dermatology procedures include: All procedures include appropriate aftercare guidance to support smooth healing and minimise scarring