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Importantly, functional B12 deficiency can sometimes coexist with high total B12 levels, especially in kidney disease, and may require additional testing with methylmalonic acid (MMA) or holotranscobalamin if deficiency is suspected clinically
One of the reasons we love AOD 9604 is that clinical trials have shown it to be very well-tolerated, with no significant impact on blood sugar, insulin levels, or IGF-1
1 2 "Nutrients: Vitamin B-12" (PDF)
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