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It has been studied for its ability to support tissue repair, particularly within the gastrointestinal system

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In vitamin B12 deficiency, the accumulation of methylmalonyl coenzyme A and malonyl coenzyme A, leads to the synthesis of single-chain fatty acids that are incorporated into the nerve sheath, resulting in myelin changes

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Once symptoms improve, a lower dose might be used

The study used three conditions: fasting, a high carbohydrate meal (85% of energy from carbs), and a high protein meal (94% of energy from protein)