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When her doctor finally tested something called methylmalonic acid (MMA), it was high at 0.6 mol/L (normal is under 0.4) meaning her cells werent actually using all that B12 floating around

The components of the TCA cycle serve as precursors for the synthesis of non-essential amino acids, which account for more than 50% of protein carbon (Roberts et al., 1953)

Being on a vegan diet you may add fortified foods to prevent B12 deficiency in the long run

So some kids might not be eating enough foods rich in B12, or they also might be eating the foods but have trouble absorbing them due to digestive issues in their gut

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