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diagnosis deficiency folate mma b12 hematology nutrition aafp algorithm cobalamin comparisontable folicacid macrocytic macrocytosis management methylmalonicacid nitrousoxide pathophysiology toxicology vitamin
Methylmalonic Acid and Homocysteine Levels in Vitamin B12 and Folate Deficiency • B12 Deficiency: MMA elevated,
Vitamin B12 and Folate ... MMA elevated, Homocysteine ... elevated • Folate ... #B12 #MMA #folate ... #deficiency #VitaminB12
Diagnosing Vitamin B12 and/or Folate Deficiency It turns out that simply measuring serum levels of B12 or
conversion of homocysteine ... lead to elevated homocysteine ... Both homocysteine ... conversion of homocysteine ... #VitaminB12 #Folate
Algorithm for the evaluation of macrocytic anemia. (RBC = red blood cell; MMA = methylmalonic acid.) Physicians
of macrocytic anemia ... elevated, but anemia ... but undiagnosed, folate ... #VitaminB12 #Folate ... FolicAcid #MMA #Homocysteine
The Inhibited Pathway caused by N2O, leading to a decrease in the active form of Vitamin
an increase in homocysteine ... of pernicious anemia ... #NitrousOxide #VitaminB12
Vitamin B12 (Cobalamin) Deficiency Etiology: • Vit B12 - aka cobalamin. Present in foods derived from animal
gastric acidity, medications ... Worsening macrocytic anemia ... wt loss • If anemia ... - CBC, PBS - anemia ... Elevated MMA and homocysteine
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