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This interaction may lead to changes in the receptor's structure, initiating a series of molecular events that may activate signal transduction pathways within the target cells
[15] In practice, hydroxocobalamin injections achieve higher and more sustained vitamin B concentrations compared to cyanocobalamin
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Therefore, if your level is, for example, 350 pg/ml, your doctor reads a printout for you that reports normal B12 and she doesnt initiate treatment
Two other surrogate markers of B12 deficiency are elevated homocysteine and MCV, although several other nutrient deficiencies can cause these levels to be elevated, so be sure to work with your provider when interpreting any lab test results
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