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Tissue-level deficiency of cobalamin is associated with an increase in the urinary and serum concentrations of an organic acid called methylmalonic acid, which is an alternative product of a cobalamin dependent pathway within the mitochondria

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Kimberly Engelman brings advanced clinical training, ongoing national education, and active involvement in integrative medicine organizations

Step 1: Wash Hands and Prepare the Workspace Wash hands thoroughly with soap and water for at least 20 seconds