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The first-line test is serum vitamin B12 measurement , with levels below 148 pmol/L generally considered deficient, though the exact threshold varies between laboratories
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However, the relative abundance of the genus Parasutterella , commonly decreased by HFD 61 , was increased in both the 5A-1MQ- and vehicle-treated mice switched from WD to LD, and the abundance of Parasutterella in all mice exhibited several correlations the EWAT metabolome