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Figure 3 illustrates the metabolites that typically convert to MMCoA and that are further converted to energy if AdCbl levels are adequate.22 All B 12 forms are converted to AdCbl, because they are all broken down to cobalamin first while the adenosyl group that is used to assemble AdCbl is synthesized from adenosine triphosphate inside the mitochondria.26,29 Consequently, if supplemental B 12 is in the AdCbl form, it is unlikely that the total AdCbl produced inside the mitochondria would be higher compared with that derived from other supplemental B 12 forms.6 Newly Discovered Roles for B 12 as an Active Cofactor in Nitric Oxide Metabolism Glutathionyl-cobalamin (GSHCbl) is an intermediate in cobalamin metabolism