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Processing of cholesterol and protein gives propionyl-CoA that is converted to methylmalonyl-CoA, which is used by MUT enzyme to make succinyl-CoA

They exist because B12 stores need rebuilding before a maintenance rhythm makes sense

Storage & Handling Before reconstitution: store the lyophilised vial per supplier guidance cool, dry, dark

However, the IM route was the top-ranked statistically, followed by the SL and then the oral routes, but without clinical significance

The general advice is to review your symptoms to establish if you may have an undiagnosed B12 deficiency

This is because your body gradually stores and then uses B12 over several years