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Intramuscular treatment should also be considered, and some causes require lifelong injections
So if youre just here for the energy, you need to fix any other underlying issues if you arent low in B12
methylmalonyl CoA mutase converts methylmalonyl CoA to succinyl CoA, with 5-deoxy adenosyl cobalamin required as a cofactor
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It is not a simple process
A study from the Netherlands set reference intervals at 100400 nmol/l for adults age 1864 and 120460 nmol/l for adults 65 (Abildgaard, 2021)
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