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Intravenous administration results in even more rapid excretion with little opportunity for liver storage

The term impaired sensitivity to B12 more aptly captures this condition than functional B12 deficiency, encompassing a broader portrayal of the potential underlying pathological physiological process involving decreased responsiveness to B12 treatment, including B12 absorption, transport, intracellular metabolism, and mitochondrial MMA metabolism

5-Amino-1MQ , short for 5-Amino-1-methylquinolinium , is a small molecule peptide analog that inhibits the enzyme nicotinamide N-methyltransferase (NNMT)

Cold-like symptoms, including fever and loss of appetite, might also appear