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In the absence of impaired kidney function, an elevated MMA level in conjunction with elevated homocysteine suggests either a vitamin B 12 deficiency or a combined vitamin B 12 and folate deficiency (32)

This leads to the formation and deposition of urate monosodium crystals within soft tissues

With the heatmap we can represent this with more fidelity: The orange box is the 12-month smoothed window leading up to the orange line

Bells palsy, on the other hand, is induced by an inflamed facial nerve, which causes edema (swelling) and inhibits the nerve from interacting with the brain as well as facial muscles to make appropriate facial movements