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Likewise, these patients have serious psychological problems 35

Kobayashi, Y., Tokuda, K., Yamashiro, C., Higashijima, F., Yoshimoto, T., Ota, M., Ogata, T., Ashimori, A., Hatano, M., Kobayashi, M., Uchi, S

It is important to follow a balanced and varied diet and a healthy lifestyle

As a cofactor, cobalamins are essential for two cellular reactions: the mitochondrial methylmalonyl-CoA mutase conversion of methylmalonic acid (MMA) to succinate, which links lipid and carbohydrate metabolism, and the activation of methionine synthase, which is the rate-limiting step in the synthesis of methionine from homocysteine and 5-methyltetrahydrofolate