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Microorganisms, 10(11): 2171 Lajeunesse A, Blais M, Barbeau B, Sauve S, Gagnon C (2013)

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[21] Within cells, cyanocobalamin is converted to methylcobalamin and 5- deoxyadenosylcobalamin, coenzymes that participate respectively in homocysteine remethylation to methionine and in the isomerization of methylmalonyl-CoA to succinyl CoA, reactions essential for DNA synthesis, erythropoiesis, and myelin maintenance

Weakened immunity: Impaired T-cell function and macrophage activity