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Conversion of methylmalonyl-CoA to succinyl-CoA Enzyme : Methylmalonyl-CoA mutase Why it matters : This reaction feeds into the Krebs cycle, fueling cellular energy production, especially in nerve cells and blood-forming tissues
Note: Compounded medications are prepared based on specific patient needs or in the event of drug shortages and are not reviewed or approved by the FDA for safety or effectiveness
Likely related to niacin-like vasodilation from rapid B12 absorption
More serious complications of a B12 deficiency include heart disease, infertility, coordination problems, neurocognitive disorders, peripheral neuropathy and vision loss
To get prior authorization when Medicaid covers weight loss shots in your state, you typically need to document the patient's BMI (30 or greater, or 27 or greater with comorbidities), evidence of failed lifestyle modifications over 3 to 6 months, and sometimes evidence of failed alternative medications
