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Methylmalonic acid (MMA) is an intermediary molecule in the mitochondria which builds up as B12 levels drop and spills out into the urine and blood, indicating a relatively low B12 level

Consider B 12 supplementation without testing in asymptomatic patients with risk factors for B 12 deficiency (see Table 1: Patient Risk Factors Associated with B 12 Deficiency)

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Intramuscular (IM) injection of vitamin K to the newborn shortly after birth decreases the risk of VKDB

If they do, this would also add evidence that this NNMT inhibitor improves muscle performance through increasing NAD+ levels