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Journal of Cellular and Molecular Medicine, 2021

In humans, methylcobalamin functions in the folate-dependent methylation of homocysteine to methionine (Figure 22b.2) whereas 5'deoxyadenosyl-cobalamin plays a major part in the conversion of Lmethylmalonyl-coenzyme A to succinyl-coenzyme A in an isomerization reaction

These reasons, while understandable from a procedural standpoint, can be clinically and emotionally detrimental to a patient with Pernicious Anemia who is symptomatic and in need of treatment

Wasser langsam an der Ampullen-Wand entlang injizieren (nicht direkt aufs Pulver), sanft schwenken (niemals schtteln), Khlschrank 2 bis 8 Grad Celsius, maximal 4 bis 6 Wochen haltbar nach Rekonstitution