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These facilities are routinely audited to ensure they comply with health, safety, and environmental standards

It is less specific than MMA but provides useful context for overall methylation status, which is directly relevant to methylcobalamin function

Nevertheless, his case is sometimes cited as an example of vitamin B12 deficiency and how severe it can get with time, if left untreated, it can lead to serious health issues, including neurological symptoms like dementia
DNA Labs and Clear Choice showed unacceptable BA concentrations (too low or excessive)

Lots of publications is not the same as evidence. 2