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The most common include nausea, constipation, and fatigue
Hyperhomocysteinemia and elevated MMA can also arise from Imerslund-Grsbeck syndromea rare autosomal recessive disorder caused by mutations in either the CUBN or AMN gene responsible for the synthesis of IF receptors (cubam) in the ileum (distal region of the small intestine) (35)
What matters is documented drug use and a resulting injury
Diarrhea that disrupts your routine
dose absorption ratio Cyanocobalamin requires conversion to metabolically active cobalamin
Sci Afr 20:e01698 Gottardi D, Siroli L, Vannini L, Patrignani F, Lanciotti R (2021) Recovery and valorization of agri-food wastes and by-products using the non-conventional yeast Yarrowia lipolytica
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