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When B12 is deficient, a buildup of methylmalonic acid occurs, which is toxic to the nervous system and contributes to neuropathy
Over time, however, there is always a certain amount of inactive cob(II)-cobalamin produced, which must be reactivated through methylation into methylcobalamin with the help of a special enzyme
Patients who maintain adequate B12 during their program report better mood and better adherence
Certain medications can interfere with B12 levels too
Benzyl alcohol is a small aromatic alcohol that disrupts bacterial cell membrane integrity and interferes with cytoplasmic protein function
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