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This can be a temporary side effect but should not be ignored, especially if it affects your ability to perform daily activities

B12 deficiency can still occur and this vitamin may still be needed

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Adenosylcobalamin, the active coenzyme form, enhances the conversion of methylmalonyl-CoA to succinyl-CoA in the citric acid cycle, boosting ATP synthesis by 20-25% in deficient individuals within 4-6 weeks of supplementation, as confirmed by 2025 Cleveland Clinic studies (n=500)