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48,49 In this situation, measurement of serum methylmalonic acid and total homocysteine is useful in making the diagnosis of vitamin B12 (markedly elevated levels) deficiency in patients who have not received treatment, including those who have only neurologic manifestations of deficiency

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Alberti KGMM, Eckel RH, Grundy SM, Zimmet PZ, Cleeman JI, Donato KA, Fruchart JC, James WPT, Loria CM, Smith SC

Understanding the expected timeline helps patients maintain realistic expectations and ensures adherence to prescribed regimens, which is essential for optimal recovery and prevention of long-term complications

Don't overtrain: Training volume should be slightly reduced during a cut
