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The MCC is one of three approaches that Mtb can use to metabolise the potentially toxic propionyl-CoA that is derived from the catabolism of host-derived sterols, odd-chain fatty acids and branched-chain amino acids, substrates that are present and utilised in vivo (Lee et al, 2013)

Two other surrogate markers of B12 deficiency are elevated homocysteine and MCV, although several other nutrient deficiencies can cause these levels to be elevated, so be sure to work with your provider when interpreting any lab test results

Mixing caffeine and alcohol can be risky and puts stress on the heart