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Metabolic pathway requiring 5-deoxyadenosylcobalamin The figure illustrates the metabolic pathway for the vitamin B 12 -dependent enzyme L-methylmalonyl-CoA mutase, which converts L-methylmalonyl-CoA into succinyl-CoA for entry into the citric acid cycle

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So, we recommend using SL vitamin B12 rather than oral and IM, especially in patients who do not tolerate IM injection and patients who need prolonged vitamin B12 supplementation, such as patients with long-term metformin use and patients with pernicious anemia or with gastro-duodenal resection [5154]

VITAMIN DEFICIENCY INJECTABLE SYSTEM - B12- cyanocobalamin IT3 Medical LLC ---------- Cyanocobalamin Injection (vitamin B12) is a sterile solution of Cyanocobalamin

The ROCF is a neuropsychological test that involves drawing a complex figure to assess visuospatial abilities, executive functions, and memory retention (reviewed in: 5 )