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The other form, 5-deoxyadenosylcobalamin, is a cofactor needed by the enzyme that converts L-methylmalonyl-CoA to succinyl-CoA
Pushing a patient past their tolerability threshold often leads to protocol abandonment
Running a B12 deficitwhich about six percent of Americans under the age of 60and 20 percent of those over 60 do (1)puts you at risk for muscle weakness, fatigue, depression, memory issues, erectile dysfunction, and a cluster of symptoms that can be so severe that theyre debilitating
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