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Cycle 4 to 6 weeks on, then take a break

These are transient and manageable, but only if the clinician knows how to modulate the drip rate in real time based on patient feedback
10.1152/ajprenal.1996.271.4.F814 4 AkahoriH.TsujinoT.NaitoY.MatsumotoM.Lee-KawabataM.OhyanagiM.et al (2011)

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L-methylmalonyl-CoA to Succinyl-CoA Conversion: Methylcobalamin is also a coenzyme for the enzyme methylmalonyl-CoA mutase
