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In wellness settings, theyre commonly used to support energy levels, mental clarity, and recovery in people who may not absorb B12 efficiently from food alone

Hi David it's not that it's such a rare condition it's just not recognised enough it seems in the medical field

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methylmalonyl CoA mutase converts methylmalonyl CoA to succinyl CoA, with 5-deoxy adenosyl cobalamin required as a cofactor

Any discomfort is very minimal and fades almost immediately

this effect may be due to interference with erythrocyte maturation