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Often, the next test is serum methylmalonic acid (MMA), a functional marker of B12 deficiency that's produced when there's not enough active vitamin B12 present

Your care plan may also include pelvic floor therapy, lifestyle changes, sexual counseling, partner communication, oral medication, a vacuum device, or other approaches based on your medical history

Research suggests that Vitamin B12 may also offer protective benefits against various cancers, including breast, colon, lung, and prostate cancers

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