Thats where supplements can be helpful
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There are also methylmalonic acid (MMA) tests that provide a more complete analysis of the vitamin B12 available in your body
The authors found adenosyl B12 to be significantly better than cyano B12 in normalizing total bilirubin, serum glutamic oxaloacetic transaminase (SGOT), serum glutamic pyruvic transaminase (SGPT), and alkaline phosphatase values