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Testing is widely available, 5,8 but expensive, and multiple conditions may falsely elevate serum homocysteine and methylmalonic acid levels (Table 3)

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8 Also in Japan, in 2007, patients with the incurable neurodegenerative disease ALS (Lou Gehrig’s disease) received daily injections with 25 mg methylcobalamin for 4 weeks, followed by daily injections of 50 mg intravenously, followed by 50 mg a week