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In the face of vitamin B 12 deficiency, conversion of methylmalonyl-CoA to succinyl-CoA cannot take place, which results in accumulation of methylmalonyl-CoA and aberrant fatty acid synthesis

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Regular reassessment with healthcare providers helps determine the ongoing need for treatment, with consideration of factors such as treatment response, side effects, and changes in health status or treatment goals

doi:10.1038/s41598-024-65310-y Neelakantan H, Hommel JD, Watowich SJ, et al

That being said, it may cause severe side effects if an allergy is present or if the individual is also taking certain medications