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The Methylmalonyl-CoA Reaction: B12 is also needed by another enzyme (methylmalonyl-CoA mutase) inside the cells power plants (mitochondria)

Supportive lifestyle practices include: Healthcare providers work collaboratively with patients to identify and address factors contributing to B12 deficiency risk

It all boils down to the need of the patient, even when the injectables are good but oral supplements are also acceptable depending on the needs of the patient