A member asked:

I have a patient who has a high b12 level (>4, 000) but yet mma done on same day was high at 512. a b12 level a few days prior was low normal. advice?

A doctor has provided 1 answer

Recheck labs again: Recheck all the levels with b12, folate, (folic acid) methylmalonic and homocysteine and also CBC with diff count again... ...Was B12 supplementation given to get the B12 up prior to the documented low b12?

Answered 9/20/2017

4.2k views

Thank

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