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The compound also maintains the mitochondrial acetyl-CoA/CoA ratio, supporting optimal function of the pyruvate dehydrogenase complex (PDC) and tricarboxylic acid (TCA) cycle flux during energy demand
Key Points Vitamin B12 Deficiency and Nerve Damage There are two ways in which B12 deficiency can lead to nerve damage: Myelinopathy : damage to the myelin sheaths (protective layer covering the nerves) Axonal degeneration : destruction and dying off of the nerve fibres and axons The central nerves of the spinal cord can also be affected, as well as the smallest nerve fibres in the peripheral nervous system especially in the hands and feet
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Your provider determines the appropriate approach based on your evaluation, and follow-up is part of any supervised plan
Methionine is an essential amino acid and a key lipotropic agent
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