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Order related labs such as: o Complete Blood Count (CBC) o Liver enzymes (AST, ALT, bilirubin) o Kidney function tests (creatinine, eGFR) o Methylmalonic acid (MMA) and homocysteine to check B12 activity

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Its a relentless, stubborn injury that can sideline athletes, frustrate weekend warriors, and make daily life a genuine chore

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11 Recent research suggests that excess folic acid intake may lead to insufficient B12, but the biochemical mechanism for this is not yet certain