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Vitamin B12, also known as cobalamin, is a water-soluble vitamin essential for several vital bodily functions, including energy production, nerve function, and red blood cell formation

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When co-administered with methyl donors and carnitine, it provides the acetyl acceptor capacity necessary for sustained mitochondrial oxidation, creating a complementary, multi-pathway approach to lipid mobilization and energy production

Diagnosis is supported based on vitamin B 12 blood levels below 150180 pmol/L (200250 pg/mL) in adults

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