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3 Adenosyl-B12, on the other hand, is a cofactor for the enzyme converting methylmalonyl-CoA to succinyl-CoA, which is crucial for channelling fatty acids and amino acids into the Krebs cycle for energy production

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Therefore, if a significant amount of the vitamin B12 in your blood is inactive, a blood test may show that you have normal vitamin B12 levels, even though you have vitamin B12 deficiency because of insufficient "active" vitamin B12