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There are three main ways: Methylmalonic acid (MMA) MMA is one of the most useful markers for detecting B12 deficiency, because B12 helps convert methylmalonyl-CoAone of the forms of MMAinto succinyl-CoA

Ethics declarations Ethics approval and consent to participate Due to the observational nature of this case report, which does not involve any interventions or experimental procedures, formal ethical approval was not required

Clinical Benefits: Supports cellular energy production via the Krebs cycle and mitochondrial function Assists in the metabolism of carbohydrates, fats, and proteins Supports peripheral and central nervous system function Provides antioxidant protection against oxidative stress Supports immune function and recovery from illness May help address fatigue, low mood, and cognitive difficulties This combination is often recommended as part of a broader treatment plan for patients with chronic fatigue, nutritional deficiencies, or those who are not responding adequately to oral supplementation alone

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Retrieved from Marso, S