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These polymorphisms are unrelated to cobalamin metabolism and the elevated MMA levels do not, by themselves, indicate a B12 deficiency (Molloy, 2016)

2 This is to compensate for the relatively high amount of Vitamin A that is secreted into breast milk

However, researchers also noted that the overall clinical effect appeared limited and difficult to reproduce consistently across larger populations

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Supportive measures such as hydration, binders like activated charcoal or bentonite clay, and gentle liver support may help