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Treatment should not be delayed if neurological symptoms occur, as nerve damage may become irreversible without prompt B12 replacement

Elevated levels of MMA indicate that you aren't getting enough B12 into your body, regardless of what your serum B12 levels say

However, self-prescribing is never a good idea

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International vendors offer lower pricing ($25-50 per vial, total $125-210 for full protocol) but carry higher risk of underdosed or degraded product