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utilizing these values can also help distinguish B12 deficiency from folate deficiency (with folate deficiency, MMA will be normal and homocysteine will be elevated) (6) Levels less than 200 pg/mL are considered deficient (2) Once deficiency is confirmed, it is important to address underlying etiology
doi:10.1016/j.regpep.2004.08.004 14
This is why insulin, growth hormone, and many other peptide-based medications require injection-oral administration would result in degradation before the compound reaches systemic circulation
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