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Step 2 Consider additional markers if borderline Your physician may also test methylmalonic acid (MMA) and homocysteine both rise when B12 is functionally deficient at the cellular level, even when serum B12 appears near-normal

However, this study still has certain limitations

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Li CY, Chin TY, Chueh SH

Agreement between the Cochrane risk of bias tool and Physiotherapy Evidence Database (PEDro) scale: a meta-epidemiological study of randomized controlled trials of physical therapy interventions