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The neurological aspects of the disease are thought to arise from the accumulation of methylmalonyl- CoA due to the requirement of B 12 as a cofactor to the enzyme methylmalonyl-CoA mutase

It's worth noting that while MIC B12 injections can be helpful, they are not a standalone solution for significant weight loss

Monitoring helps identify trends rather than relying on a single reading

They form when the injection is administered too quickly and the solution pools rather than dispersing

Then measure carefully using a syringe marked in mL

If you notice symptoms returning before your next scheduled injection, contact your GP to discuss whether more frequent dosing is needed