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This defect leads to a block in the conversion, resulting in the accumulation of methylmalonic acid (MMA), a product of the process responsible for the neurological effects that may begin to appear at a certain point

Injections : For patients who cannot absorb B12 through digestion, oral supplements are ineffective

These findings suggest possible metabolic activity in clinical settings, though broader interpretation requires caution

Since this condition may be reported as a primary diagnosis or as a condition associated with another disease, accurate and compliant reporting is essential for appropriate reimbursement