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Since B 12 deficiency results in MMA accumulation before B 12 reduction is seen in the serum [132], methylmalonic acid is a better indicator and preferred marker reflecting B 12 status before B 12 deficiency appears [120]

Grinspoon S, Thomas L, Miller K, Herzog D, Klibanski A

To your question VitaminB12Direct provides a water based b12 suspension and they ship to addresses in Europe if you have an address in continental Europe
