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Individual patients may show minor fluctuations, but these variations stay within normal ranges and show no dose-dependent pattern that would suggest drug effect

It depends on concentration

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Clinical Ranges Lab Reference Ranges: 2-59 Years: 55-335 nmol/L 60-79 Years: 69-390 nmol/L 80 Years: 85-423 nmol/L Lifestyle Factors That Can Impact It Activities that may decrease MMA (and improve B12 status) include: Regular B12-rich meals: Consuming foods high in B12 may help prevent MMA buildup

Figure 2C, D demonstrates the microbial succession during fermentation of kimchi and pickling of pao cai