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diagnosis deficiency folate b12 hematology nutrition aafp algorithm anemia cobalamin comparisontable folicacid macrocytic macrocytosis management methylmalonicacid vitamin workup
Methylmalonic Acid and Homocysteine Levels in Vitamin B12 and Folate Deficiency • B12 Deficiency: MMA elevated,
B12 Deficiency: MMA ... elevated • Folate ... Deficiency: MMA ... #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 ... Both homocysteine ... #VitaminB12 #Folate ... ComparisonTable #MMA ... #Homocysteine
Algorithm for the evaluation of macrocytic anemia. (RBC = red blood cell; MMA = methylmalonic acid.) Physicians
red blood cell; MMA ... but undiagnosed, folate ... Macrocytic #Anemia #VitaminB12 ... #Folate #FolicAcid ... #MMA #Homocysteine
Vitamin B12 (Cobalamin) Deficiency Etiology: • Vit B12 - aka cobalamin. Present in foods derived from animal
gastric acidity, medications ... - Elevated MMA ... and homocysteine
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