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Once inside the cell, though the two enzymes MMA-CoA mutase and methionine synthase are very specific for Adenosyl and Methyl cobalamin, respectively, and so any inactive B12 is rapidly expelled from the cells and binds to circulating haptocorrin (HC)

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Group differences were tested using ANOSIM , with pairwise ANOSIM for post hoc comparisons

Understanding the symptoms and causes helps you respond appropriately, whether through lifestyle adjustments or seeking professional care