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Methylmalonic acid (MMA) is a blood test that seems to be a better measure of vitamin B12 deficiency than serum vitamin B12 level

Mild nausea or bloating Occasionally reported when dosing begins but often subsides after a few days

People with known hypersensitivity to cobalt or cyanocobalamin should not use cyanocobalamin injection unless a clinician has evaluated the risk and chosen an appropriate plan

Additionally, the study aimed to explore the methyl-dependent epigenetic mechanisms that play a role in regulating these biomarkers as well as investigate the potential of vitamin B12 in modulating the gene expression of these genes in leukocytes