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22,23 In patients with a normal or low-normal serum vitamin B 12 level, complete blood count results demonstrating macrocytosis, or suspected clinical manifestations, a serum methylmalonic acid level is an appropriate next step 1,2,6,18 and is a more direct measure of vitamin B 12 's physiologic activity

For that reason, Better Med Spa uses strict sourcing standards, dosing protocols, and informed consent, and may not recommend AOD9604 for clients with autoimmune conditions or high risk tolerance concerns

We always discuss these with you before any treatment and ensure our procedures are as comfortable as possible

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