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Copper deficiency can cause a similar picture, including sensory ataxia and myelopathy (spinal cord involvement), and should always be considered alongside B12 deficiency

Methionine : A sulfur-containing amino acid involved in methylation , glutathione synthesis , and fat metabolism Inositol : A B-vitamin-like compound that enhances insulin sensitivity , supports cell signaling , and contributes to lipid transport Choline : Crucial for cell membrane integrity , fat mobilization , and neurotransmitter synthesis (acetylcholine) Together, MIC components stimulate the liver to process and export fats more efficiently , prevent hepatic steatosis , and enhance weight loss outcomes

Others influence fat metabolism

Homocysteine can either be remethylated to methionine or metabolized to cysteine through a transsulfuration pathway requiring vitamin B 6

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