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An elevated methylmalonic acid (MMA) level has been thought to be the most direct, metabolic indicator of B12 deficiency because B12 is the only cofactor required by the enzyme that degrades MMA

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If you move from a 10mg vial with 2ml of water to a 30mg vial with 3ml of water, the units per dose change completely

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Screening Codes Z20.5 (Contact with and suspected exposure to viral hepatitis) and Z20.828 (Contact with and suspected exposure to other viral communicable diseases) apply when a patient has had a known or suspected exposure event