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In the face of vitamin B 12 deficiency, conversion of methylmalonyl-CoA to succinyl-CoA cannot take place, which results in accumulation of methylmalonyl-CoA and aberrant fatty acid synthesis
Lower-dose oral supplements, like tablets or sublingual drops, are often available over-the-counter
Chinese Medicine, 15 , 15
In such situations, semaglutide supplemented with B12 makes it easier to take vitamin B12 without feeling nauseous
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