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Both MMA and homocysteine can also be elevated in renal impairment.[7] Once vitamin B12 deficiency is diagnosed, oral, sublingual, or IM 1000-2000 mcg of vitamin B12 administration is appropriate

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Medications may be given to decrease fluid build-up in the abdomen, enhance bile flow, treat any infection that is present, address GI ulceration if present, alleviate brain swelling to control seizures, decrease ammonia production and absorption into the body, eliminate copper from the liver, and decrease liver scarring

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