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L-methylmalonyl-CoA to Succinyl-CoA Conversion: Methylcobalamin is also a coenzyme for the enzyme methylmalonyl-CoA mutase

The injection format ensures optimal absorption, bypassing potential gastrointestinal barriers that can limit oral supplementation effectiveness

It is easily converted into methyl-B12 within the body

Gastroscopy (a camera into the stomach) Tests for coeliac disease (an auto-immune disease that makes people allergic to gluten and reduces their absorption of a lot of nutrients)

Also, after weight loss surgery, patients are on a very restricted diet and adjusting to a reduction in stomach capacity making it difficult to ingest all the nutritional supplements required

Lyophilized peptide is stable at room temperature for several weeks