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We expect to see improvements in groups that are followed like this, due to both placebo effects and regression to the mean

The breakdown of faulty red blood cells can also cause jaundice

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At the current presentation he has serum B 12 (209 pmol/L), which is within the normal range (148-600 pmol/L), however MMA is elevated at 1100 nmol/L (a measurement taken in 2017 was 117 nmol/L, normal A) and vitamin B 12 in Europe and West Africa Am J Clin Nutr 2012;95:514-21