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A vitamin B-12 supplement of 500 g/d for eight weeks does not normalize urinary methylmalonic acid or other biomarkers of vitamin B-12 status in elderly people with moderately poor vitamin B-12 status

Charles Farr, M.D., Ph.D., "Hydrogen Peroxide Therapy," Supplement to The Art of Getting Well, The Arthritis Trust of America/The Rheumatoid Disease Foundation, 7376 Walker Road, Fairview, TN 37062, 1992

For some, statistically defined reference limits are used, whereas for others "true" cutoffs" based on a known relationship between the B12 biomarker and low body stores, functional impairment, or clinical signs of deficiency, are applied

Fortified vitamin b injections and/or electrolytes are helpful supportive care as is offering the doe a wide variety of safe forages and hays to eat