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Discussion The results of this study should help establish, taking quality of life into account, whether the oral administration of vitamin B12 is an effective alternative to its intramuscular administration

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This restores the function of the methylmalonyl-CoA mutase enzyme, allowing the seamless conversion of methylmalonyl-CoA into succinyl-CoA

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But it is not what you reach for when a patients primary complaint is systemic fatigue or cognitive fog