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When compared to patients with low MMA and low B12 (MMA low B12 low ), the multivariate-adjusted HRs (95% CIs) for total mortality in the MMA low B12 high, MMA high B12 low , and MMA high B12 high groups were 0.90 (0.731.12), 1.27 (0.951.69), and 1.98 (1.462.69), respectively

Choquequirao is an ideal alternative if you didnt get a spot on the Inca Trail or are looking for something more intense and less touristy