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Shellfish, particularly clams and mussels , can contain 1020 micrograms per 100 grams, making them valuable alternatives for those who prefer seafood to organ meats
doi:10.1016/j.clinbiochem.2003.08.004
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Serum B12 alone can be misleading, while methylmalonic acid levels offer a more accurate assessment of whether the body is utilizing available B12
In this setting, oral replacement will also be interest to avoid painful and administration difficulties
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