On the surface, this is reassuring
As a cofactor, cobalamins are essential for two cellular reactions: the mitochondrial methylmalonyl-CoA mutase conversion of methylmalonic acid (MMA) to succinate, which links lipid and carbohydrate metabolism, and the activation of methionine synthase, which is the rate-limiting step in the synthesis of methionine from homocysteine and 5-methyltetrahydrofolate
(PubMed) de Koning EJ, van der Zwaluw NL, van Wijngaarden JP, et al
It promotes healthy nerve, spine and brain development in the growing foetus
The appetite suppression can be so effective that total caloric intake drops significantly, sometimes too significantly for adequate protein consumption
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