Step 2 Consider additional markers if borderline Your physician may also test methylmalonic acid (MMA) and homocysteine both rise when B12 is functionally deficient at the cellular level, even when serum B12 appears near-normal
Lifestyle changes, infection screening, and workplace adjustments are actionable
The optimization phase is where you fine-tune based on response
How Does Plasma Exchange Work
Maria Cardenas, MD (Board Certified: Internal Medicine) (Licensed Medical Doctor) Medical Director, Clinical Director & Collaborative Physician NPI # 1164426749 MD License #: J2933 Licenses and Board Certifications: MD: Medical Doctor DC: Doctor of Chiropractic APRNP: Advanced Practice Registered Nurse FNP-BC: Family Practice Specialization (Multi-State Board Certified) RN: Registered Nurse (Multi-State Compact License) CFMP: Certified Functional Medicine Provider MSN-FNP: Master of Science in Family Practice Medicine MSACP: Master of Science in Advanced Clinical Practice IFMCP: Institute of Functional Medicine CCST: Certified Chiropractic Spinal Trauma ATN: Advanced Translational Neutrogenomics Memberships & Associations: TCA: Texas Chiropractic Association: Member ID: 104311 AANP: American Association of Nurse Practitioners: Member ID: 2198960 ANA: American Nurse Association: Member ID: 06458222 (District TX01) TNA: Texas Nurse Association: Member ID: 06458222 NPI: 1205907805 Dr
Taking larger doses, like in supplement form, an even smaller fraction is absorbed
