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Table 2 Cut-offs indicating probable vitamin B12 deficiency, probable vitamin B12 sufficiency and a grey zone of diagnostic uncertainty. These cut-offs are given for four markers of vitamin B12 status and were obtained by ROC-analysis 

From: Vitamin B12 and folate levels in healthy Swiss senior citizens: a prospective study evaluating reference intervals and decision limits

 

Probable vitamin B12 deficiency

Grey zone

Probable vitamin B12 sufficiency

Vitamin B12 (pmol/L)

<131

131 – 315

≥316

Holotranscobalamin (pmol/L)

<25.8

25.8 – 56.9

≥57.0

MMA (nmol/L)

>485

217 – 485

≤216

Homocysteine (μmol/L)

>26.8

9.6 – 26.8

≤9.5