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That is why it is important to measure both B12 and MMA at the same time, as an elevated MMA can indicate B12 deficiency even if the B12 is normal. When the levels come back, ask to see them yourself and ask questions of your doctor if there is any question of normal B12 metabolism. In my case, my B12 levels were very low and my MMA levels were very high, indicating B12 deficiency

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Conclusion .It also provides further evidence that participation in audit can bring about change in clinical behaviour leading to improvements in standards of care Use of vitamin B12 injections among elderly patients by primary care practitioners in Ontario although therapy for vitamin B12 deficiency prevents serious morbidity clinical audits in Britain have shown that approximately half of the patients receiving regular vitamin B12 injections do not meet explicit criteria supporting its use and up to one fifth of patients receive unnecessarily frequent injections

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