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& Vance, D

But most patients find the traditional NHS or over-the-counter approach unsustainable

The conversion of methylmalonyl CoA to succinyl-CoA involves adenosylcobalamin as a cofactor, and a deficiency of this enzyme leads to an accumulation of methylmalonic acid

If you are concerned about overdosing, or if you want to supplement with Vitamin B6, chat with the Allied Health team

In one case study, a 5 month old breastfed infant of a vegan mother (who actually received a prenatal vitamin containing 96% of her daily needs of B12 throughout her pregnancy) presented with many of the above symptoms and required a 19 day hospital stay to stabilize