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Serum B12 above 300 pg/mL is often interpreted as normal (6) Serum B12 levels between 200 and 300 pg/mL are considered borderline (in which case further enzymatic testing may be helpful for diagnosis) (6) Enzymatic testing: serum levels of MMA and homocysteine should both be elevated if B12 deficiency is present

Vignozzi L, Rastrelli G, Corona G, et al

If gastroparesis is present, start with 2.5 mg and escalate only if gastrointestinal symptoms remain tolerable

This concentration closely resembles the amount of salt in our body fluids

About this article Cite this article Arcones, A.C., Vila-Bedmar, R., Mirasierra, M