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It reflects the metabolic dysfunction caused by insufficient vitamin B12, as the enzyme responsible for breaking down methylmalonic acid is dependent on adequate levels of vitamin B12

[9] The name stands for "periodic fever, aphthae, pharyngitis (sore throat) and cervical adenitis" (inflammation of the lymph nodes in the neck)

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The absorption process requires adequate stomach acid, intrinsic factor production, and healthy small intestine function

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