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When serum B12 falls in the gray zone, methylmalonic acid testing is recommended to clarify whether a functional deficiency exists

This breakdown covers both therapies from a clinical perspective so you can have an informed conversation with your provider

Clinical responses of oncolytic coxsackievirus A21 (V937) in patients with unresectable melanoma

Here are some early warning signs that you may have a mild to moderate deficiency: 5 Lack of energy Joint and muscle aches and pains Foggy brain Low immunity Poor sleep These are the symptoms of a severe insufficiency: 6 Anemia (low levels of iron) Metabolic acidosis (build-up of too much acid in the body) Frequent infections Seizures, Alzheimers disease, Parkinsons disease Loss of coordination (Ataxia) Liver disease Heart attack and stroke 7 If you feel like you have a deficiency, I recommend increasing supplemental glutathione levels using the methods I outline below