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Many people with elevated MMA are told their labs are normal, their B12 is fine, and there is nothing to explain how they feel

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Hepatic or renal dysfunction can result in decreased metabolism and clearance and a higher level of circulating drug

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Called macrotumors or macroadenomas, almost all of these pituitary tumors are benign, but about half are large enough to compress the brain and cause neurological symptoms such as listlessness, poor appetite, confusion, walking in circles, or seizures

Eur Urol 2005;47:530-5