Participants in the highest tertile had a significantly increased risk of death compared to those in the lowest tertile (adjusted HR = 1.58; 95% CI: 1.10–2.26; p < 0.001), with a significant trend across tertiles (P-trend < 0.001).
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Elevated methylmalonic acid, but not vitamin B12, predicts all-cause mortality in hyperlipidemic adults: a prospective cohort study.
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