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The figure shows the precursors of L-methylmalonyl-CoA: Fatty acids and amino acids can be metabolized to propionyl-CoA, which is converted to D-methylmalonyl-CoA and then to L-methylmalonyl-CoA

We use a baby needle, smaller than many acupuncture needles used in our own clinic

Also, the cyanocobalamin medication is approved for use in humans as well and has some slight differences in ingredients compared to the 100mL bottle of injectable B-12, which could affect cost

Each 10 mL multi-dose vial contains 100 mcg/mL of Vitamin B12, equivalent to ten 1 mL weekly injections, making it a convenient and cost-effective option for patients requiring regular supplementation