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[PubMed: 37380026] 5

Bacteria-derived hydroxocobalamin (OHCbl) and CNCbl are converted in humans to useful coenzyme forms to support metabolic processes such as mitochondrial methyl malonyl coenzyme A mutase conversion of methylmalonic acid (MMA) to succinate to link lipid and carbohydrate metabolism, and activation of methionine synthase, the rate-limiting step in the synthesis of methionine

That does not mean you should avoid TRT

D51.9 - Vitamin B12 deficiency anemia, unspecified: Yes, billable

If taking iron supplements, improvements in hemoglobin may be noticeable within 4 weeks

Significance: A gradual increase in headloss is normal as the filter operates, but sudden spikes may indicate an issue, such as air binding or media fouling
