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(1994) (Table 22b.7) emphasize the high sensitivity of both serum methylmalonic acid concentrations and total homocysteine levels for the diagnosis of functional vitamin B12 deficiency

3 Moderate to severe pain requires scheduled opioids (e.g., oxycodone, morphine)

However, it has been shown that high blood levels of vitamin B12 can cause the diagnostic features of cobalamin deficiency , which is due to binding to the different transport proteins