You should also see a clinician if you have anemia symptoms, a history of gastric surgery, suspected pernicious anemia, or if lab testing hasnt confirmed a B12 deficiency.
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3.Should we be checking other biomarkers like methylmalonic acid (MMA) or homocysteine to ensure my cells are actually getting enough B12
Peptide concentration influences both aggregation and oxidation rates
Metabolic pathways: B12 is a cofactor in two critical reactions: Methylmalonyl-CoA mutase: Converts methylmalonyl CoA (from odd-chain fatty acids and some amino acids) into succinyl-CoA, which enters the Krebs (TCA) cycle to make ATP (cellular energy)