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Metabolic pathway requiring 5-deoxyadenosylcobalamin The figure illustrates the metabolic pathway for the vitamin B 12 -dependent enzyme L-methylmalonyl-CoA mutase, which converts L-methylmalonyl-CoA into succinyl-CoA for entry into the citric acid cycle

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Injections are administered only after a medical consultation and provider approval

The key difference is that the quarterly plan requires a longer commitment but provides a lower monthly rate

Supplementing with vitamin B12 is generally considered safe, as there is a low risk of toxicity