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Medications that reduce absorption of B12 metformin (for diabetes) and antacids (that reduce the amount of stomach acid) are the main ones
Genetic polymorphisms may be a contributing factor as to why its hard to precisely pin down a healthy MMA threshold
Once reconstituted, keep refrigerated at 36-46 degrees Fahrenheit and use within 4-6 weeks
Trimethylamine has a very strong smell, similar to that of rotting fish
If your tiredness persists beyond six weeks, appears suddenly after feeling well, or is accompanied by other symptoms, ask your provider for thyroid testing (TSH, free T4) and basic metabolic labs to rule out other causes
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