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Foods such as fortified cereals, leafy greens, and animal products are high in B vitamins
Allergic reactions A small group of people might react to the preservative in the injection
Some disorders of intracellular cobalamin metabolism (cblC, cblD-MMA/Hcy, cblF, and cblJ) do not only compromise the synthesis of methylcobalamin, but also the synthesis of adenosylcobalamin, cofactor of the enzyme methylmalonyl-CoA mutase, leading to elevated concentrations of both tHcy and methylmalonic acid (MMA)
no controlled trial has tested them together
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