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L-methymalonyl-CoA mutase converts L-methymalonyl-CoA to succinyl-CoA, which is essential for the metabolism of protein and fat

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Frontiers in Endocrinology

That means a single 15mg vial can cover the entire initiation and early escalation phases of a conservative protocol before you even open a second vial

Bacteriostatic water is supplied in a multiple-dose container from which repeated withdrawals can be made to dilute or dissolve things for administration

Community reports describe mild appetite changes, sleep disturbance, and increased resting heart rate in some users, but these are uncontrolled observations