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We expect to see improvements in groups that are followed like this, due to both placebo effects and regression to the mean

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At the current presentation he has serum B 12 (209 pmol/L), which is within the normal range (148-600 pmol/L), however MMA is elevated at 1100 nmol/L (a measurement taken in 2017 was 117 nmol/L, normal A) and vitamin B 12 in Europe and West Africa Am J Clin Nutr 2012;95:514-21