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A serum level can appear normal while MMA is elevated, indicating that B12-dependent reactions are not running properly at the cellular level

Its important to note that vitamin B12 is water-soluble, so excess amounts are typically excreted in the urine

Absorbing vitamin B12 requires both stomach acid and a protein known as intrinsic factor

Here are some straightforward answers to the most common queries we see

Its a billable code used when the provider documents anemia but doesnt specify the type or underlying cause

neuropathy), effective replacement therapy should lead to a normal full blood count and B12 level after 8 weeks of treatment, while improvement in neurological symptoms begins very quickly within one week of initiation of therapy but can take up to 3 months to resolve (Carmel, 2008)