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ClinicalTrials.gov (2026) Related Dosing Protocols Educational use only This guide is an educational research reference, not medical advice or a treatment plan

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The lack of adequate cobalamin in the body hinders the regeneration of tetrahydrofolate, which eventually leads to megaloblastic anemia due to the functional folate deficiency.[9][10] On the other hand, the methylmalonyl-CoA mutase helps to metabolize odd chain fatty acids and branch chain amino acids.[5] Cobalamin is also thought to keep the bodys level of sulfhydryl (SH) groups in reduced form

If a dose is missed, it should be administered as soon as the patient remembers