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The medication should be protected from excessive heat and humidity, which can accelerate degradation and potentially support microbial growth

Additionally, NAD + is required for fatty acid metabolism during -oxidation, glutaminolysis generating -ketoglutarate, mitochondrial shuttling of metabolites, and lactic acid fermentation 35

Do not use if the solution has changed color from the original color

contributed to the investigation, establishing methodology, and writing the original draft of the manuscript

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Urinary or plasma methylmalonic acid (MMA), a substance produced in the body thats dependent on B12, is also helpful for detecting early stages of B12 deficiency