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MM cell death occurs via NK cell degranulation and release of perforins and granzymes and via activation of receptors inducing MM cell apoptosis [68, 69]

Serum MMA may also be elevated in thyroid disease, bacterial overgrowth in the small intestine, pregnancy, or a rare genetic disorder in infants called methylmalonic acidemia

Administer fast-acting sources of carbohydrate, such as fruit juice or glucose gel, as ordered, to raise the patients blood glucose levels

The primary mechanism involves intrinsic factor binding in the stomach, while a secondary pathway allows small amounts to absorb through passive diffusion

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Consistently, mutants in the vitellogenin receptor Ppa-rme-2 are memory-defective indicating that a vitamin acts through maternal provisioning to progeny