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To modulate cellular response beyond cell death, the intracellular assembly systems need to link with living cell regulatory pathways for reversible accumulation

When serum B12 is normal but MMA is elevated, this may indicate a functional B12 deficiency and may be treated with high-dose injections of vitamin B12, which help bypass barriers to absorption

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The healing process varies for each individual, but most patients can resume normal activities within a few weeks

This is usually an issue of malabsorption or taking medications that interfere with the absorption of vitamin B12