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In my own practice, especially if an older person has risk factors for vitamin B12 deficiency, I consider a vitamin B12 level of 200-400 pg/mL borderline, and I usually order a methylmalonic acid level as a follow-up

doi: 10.1007/s00401-016-1636-z 42 DaskalovA.MartinezD.CoustouV.El MammeriN.BerbonM.AndreasL

B12 thins the blood and prevent stickiness which improves the cells from sticking together which can lead to a blood clot and reduce the risk of a stroke

No impact was observed on motor functions, whether assessed by the MDS-UPDRS Part 3 scale or the finger-tapping test