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Some disorders of intracellular cobalamin metabolism (cblC, cblD-MMA/Hcy, cblF, and cblJ) do not only compromise the synthesis of methylcobalamin, but also the synthesis of adenosylcobalamin, cofactor of the enzyme methylmalonyl-CoA mutase, leading to elevated concentrations of both tHcy and methylmalonic acid (MMA)
We often see a lack of vitamin B12 in many vegans or vegetarians as b12 is usually found in animal products
These lipotropic injections may not produce dramatic results on their own , but they are often helpful within a structured metabolic strategy
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