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For Example: If a patient gets an evaluation for diabetes and also gets a vaccine (Flu shot) on the same day

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Commonly administered drugs include antibiotics, steroids, B12, Toradol, and anti-nausea or migraine medications

Vitamin B-12 is the source of coenzymes for the respective methylation of homocysteine by 5-methyltetrahydrofolate (5-methylTHF) to form methionine and for the mitochondrial conversion of methylmalonyl-CoA to succinyl-CoA ( Figure 1 )