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Description
MMA often increases before B12 falls below the deficiency cut-off of 200 pg/mL
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doi: 10.1074/jbc.M601097200
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FDA nonclinical toxicology review (2023-2024) flagged DNA damage in pituitary cells and injection-site necrosis in animal studies, plus immunogenicity and impurity risks from compounded material, alongside GH/IGF-1-axis effects such as fluid retention, joint discomfort, flushing, and headache reported by users
