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Hormonal Levels Hormonal fluctuations, particularly in females, have been shown to significantly impact ACL strength and injury risk

Thus, vitamin B12 deficiency results in the accumulation of methylmalonyl-CoA that is subsequently converted to methylmalonic acid (MMA), whose plasma levels are often elevated in patients with vitamin B12 deficiency

Without adequate B12, the body produces fewer red blood cells and those that are produced may be abnormally large (megaloblastic)leading to anaemia and reduced oxygen delivery to tissues

There is a small amount of the cyanide molecule (hence the name) in this version