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vegans, elderly) are suggestive of subclinical deficiency, and with borderline or low normal serum B12 when confirming a deficiency through numerous tests is not possible

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Subsequently, the L-isomer is converted to succinyl-CoA by methylmalonyl-CoA mutase (MUT), a mitochondrial enzyme that requires the active coenzyme form of vitamin B12, adenosylcobalamin (Takahashi-Iiguez et al