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For the biochemistry nerds out there, B12 acts as a cofactor to convert methylmalonyl-CoA to succinyl-CoAa compound that participates in the Krebs cycle to produce energy in the form of ATP by metabolizing food

Muscle Nerve 60 , 236241 (2019)

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That is where we identify which signal is under-firing and which peptide, if any, is the right tool to restore it