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A person with pernicious anemia requires lifelong vitamin B12 treatment, which typically involves regular intramuscular injections.

It activates AMPK signaling (the same pathway activated by exercise and caloric restriction), improves insulin sensitivity, enhances glucose uptake by muscle tissue, and supports mitochondrial biogenesis

methylmalonyl CoA mutase converts methylmalonyl CoA to succinyl CoA, with 5-deoxy adenosyl cobalamin required as a cofactor

Sophie Medlin, consultant dietitian and founder of CityDietitians Sophie Medlin is a well-recognised consultant dietitian with nearly 20 years' experience working across the NHS and academia and within her own private practice at CityDietitians