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Often, the next test is serum methylmalonic acid (MMA), a functional marker of B12 deficiency that's produced when there's not enough active vitamin B12 present

Swiss researchers first isolated it in 1974 from rabbit cerebral venous blood during induced sleep states

Above the high-risk line (300 ug/mL at 4 hours) indicates a high risk of liver failure (massive ingestion), which may warrant even more aggressive therapy (discussed below)

Clients often seek it out to feel refreshed or to support overall wellness during times of stress

It can improve your skins radiance and with consistent use, it can help soften fine lines and fade brown spots

Regulatory status: investigational and research-only DSIP is not FDA-approved as a drug