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In patients with an equivocal or clinically puzzling serum vitamin B12 result, MMA can be useful

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Quelven I, Monteil J, Sage M, Saidi A, Mounier J, Bayout A, et al

Researchers have established that lower GABA levels correlate with increased axon firing and energy needs in the sensorimotor cortex and hippocampus, perhaps leading to neuroaxonal degeneration in patients with MS with advanced disease [20]