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Metabolic pathway requiring 5-deoxyadenosylcobalamin The figure illustrates the metabolic pathway for the vitamin B 12 -dependent enzyme L-methylmalonyl-CoA mutase, which converts L-methylmalonyl-CoA into succinyl-CoA for entry into the citric acid cycle

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This method is often utilized for individuals who have difficulty absorbing the vitamin through food sources or oral supplements, such as those suffering from pernicious anemia or certain gastrointestinal disorders