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Elevated MMA levels (greater or equal to 0.4 mcmol/L) may be a more reliable indicator of B12 status, because it indicates metabolic changes more specific to B12 deficiency.4 Norris recommends MMA and serum vitamin B12 tests for vegans, adding, You dont need to get tested just because youre vegan

If youre severely deficient, your provider may recommend more frequent injections at firstoften once per week before switching to monthly maintenance doses

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