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Consider MMA testing if you: Follow strict vegetarian or vegan diets for over one year Take metformin, proton pump inhibitors, or other interfering medications long-term Have digestive conditions affecting nutrient absorption Experience unexplained neurological symptoms Are over 60 years old with memory concerns Have a family history of pernicious anemia Baseline MMA testing establishes individual reference points for future comparison, making subtle changes easier to detect and address promptly

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has consultancy agreements with Novartis and received honoraria for advisory boards with Novartis, Galderma, Napp, Sanofi, Eli Lilly and Janssen, which funded a recent Cardiff University Dermatology Life Quality Index (DLQI) research project, in which he is a joint inventor and receives royalties