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MMA levels should be interpreted with caution in individuals with renal failure because this situation is associated with elevated levels of this biomarker [14]

Kawas, Joseph W

Clinical experience from thousands of patients in optimization medicine practices supports its use, but the formal evidence lags behind the clinical adoption

doi: 10.1016/S0031-3955(05)70167-X

Lifestyle Intervention and Medical Management With vs Without Roux-en-Y Gastric Bypass and Control of Hemoglobin A1c, LDL Cholesterol, and Systolic Blood Pressure at 5 Years in the Diabetes Surgery Study