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Should not be used in cases where the underlying condition is not due to Vitamin B12 deficiency, as it may not address other causes of symptoms

Response: We thank commenters for their support of our proposal to adopt the Emergency Care Access & Timeliness eCQM and agree that the measure is appropriate and relevant to REHs

nice.org.uk/guidance/ng239/

When the body is deficient in active B12, this mitochondrial pathway backs up, leading to an accumulation of methylmalonic acid (MMA) and a sharp decline in cellular energy output

Researchers have studied its effects in promoting tissue repair, reducing inflammation, and even improving gastrointestinal function

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