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The biomarker methylmalonic acid in urine is sensitive, detecting early functional vitamin B12 deficiency before the onset of macrocytic anemia, as noted for MMA in serum

This is essentially done because the body can absorb vitamin B12 through shots without going through the digestive system

[DOI] [PMC free article] [PubMed] [Google Scholar] 166.Sun T., Tian H., Feng Y., Zhu Y., Zhang W
