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At the current presentation he has serum B 12 (209 pmol/L), which is within the normal range (148-600 pmol/L), however MMA is elevated at 1100 nmol/L (a measurement taken in 2017 was 117 nmol/L, normal A) and vitamin B 12 in Europe and West AfricaAm J Clin Nutr2012;95:514-21

Your body doesnt make these fatty acids, so youll need to ensure that you consume enough of them through food or supplements

A personalized medical plan can help determine the most effective option

If you have questions regarding vitamin dosing, its best to consult a medical professional