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The lack of adequate cobalamin in the body hinders the regeneration of tetrahydrofolate, which eventually leads to megaloblastic anemia due to the functional folate deficiency.On the other hand, the methylmalonyl-CoA mutase helps to metabolize odd chain fatty acids and branch chain amino acids.Cobalamin is also thought to keep the bodys level of sulfhydryl (SH) groups in reduced form

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Commercial launch prices: projected $1,000$1,500/month before discounts Compounded versions: $200$600/month, varies by dose and supplier Starting or sub-clinical doses are less than $100 per month, sometimes below $50