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Elevated methylmalonic acid is commonly seen in the elderly, either because B12 is poorly absorbed (which may be one of the reasons), or because there is not necessarily a B12 deficiency as such, but rather an alteration in kidney function

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Multiple studies have demonstrated MOTSc’s ability to enhance lipid beta-oxidation, increase thermogenic brown fat, decrease fat gain on a high-fat diet, and improve glucose uptake during glycolysis