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22b.2.6 Red blood cell methylmalonic acid Unrecognized deficiency of vitamin B12 during early childhood can lead to long-term health outcomes in children including impaired cognitive function and developmental delay

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A clinical study published at the NIH shows that B12 shots are used to treat neuropathynerve damage that causes tingling or numbnessresulting from long-term deficiency Medical necessity vs

Hanson RL, Imperatore G, Bennett PH, Knowler WC

[6] Caution is advised in patients with advanced renal impairment or those receiving dialysis, given the renal clearance of carnitine and the risk of accumulation

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