This is a different pathway entirely, addressing the efficiency with which cells produce and use energy rather than directly targeting fat stores
MMA rises when B12 is functionally lacking inside the cells and is the more specific of the metabolic markers
If only part used, discard the remaining solution
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Proton pump inhibitors and similar medications that lower stomach acid might decrease the absorption of vitamin B12 from food, but this is less of a concern when receiving B12 injections because they bypass the digestive system entirely