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When compared to patients with low MMA and low B12 (MMA low B12 low ), the multivariate-adjusted HRs (95% CIs) for total mortality in the MMA low B12 high, MMA high B12 low , and MMA high B12 high groups were 0.90 (0.731.12), 1.27 (0.951.69), and 1.98 (1.462.69), respectively

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In addition, it is also hypothesized that altered gastric physiology may indirectly reduce intrinsic factor levels

Pernicious anaemia: self-administration of hydroxocobalamin in the covid-19 crisis BMJ 2020;369:m2380
