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The diagnosis of vitamin B12 deficiency typically relies on low total B12 levels and elevated concentrations of homocysteine (Hcy), as well as levels of transcobalamin-bound B12 (holoTC) and methylmalonic acid (MMA), which serve as functional indicators of cobalamin insufficiency (Carmel and Sarrai, 2006)
PubMed , HSS Journal , July 2025, p
Short-term (hours to days) exposure is generally tolerable for lyophilized peptide
It's relatively stable and converts easily into active forms in the body