Here, homocysteine is converted back into methionine independently of B12 and the folate cycle, with trimethylglycine (TMG, also called betaine = methylated choline) functioning as a cofactor of the enzyme betaine homocysteine methyltransferase (BHMT)
Although rare (3.07/million), lipodystrophy is likely underdiagnosed [196]
This finding raised Li's suspicions about B12's role in acne, she said
If symptoms return before the next planned injection, seek clinical advice instead of changing the schedule yourself
[1] [2] Patients should not rely on Mounjaro for any vitamin or mineral supplementation and should discuss their nutritional needs separately with their GP or dietitian
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