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The figure shows the precursors of L-methylmalonyl-CoA: Fatty acids and amino acids can be metabolized to propionyl-CoA, which is converted to D-methylmalonyl-CoA and then to L-methylmalonyl-CoA

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These cases underscore the importance of being aware of potential hypersensitivity to the Vitamin B12 molecule itself or an IgE-mediated reaction

Older Adults: Absorption naturally decreases with age

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The bacteriostatic water preservative prevents bacterial growth but does not prevent peptide degradation over time