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ALA acts as a cofactor for pyruvate dehydrogenase and -keto-glutarate dehydrogenase activity (Schmidt et al., 1994), and is also required for the oxidative decarboxylation of pyruvate to acetyl-CoA, a critical step bridging glycolysis and the citric acid cycle (Reed, 1998)

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Why on earth would any one with half a brain think that a high or a low folate concentration negates the need for B12 when the serum B12 level is low

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