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In vitamin B 12 deficiency, the mutase reaction is impaired, causing accumulation of D-methylmalonyl-CoA, which is converted to methylmalonic acid

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It also affects overall health, as muscle tissue plays important roles in glucose metabolism and hormonal balance

14 The pain associated with fibromyalgia varies substantially and unpredictably over time, but may be made worse by inactivity, humid or cold conditions, stress, and fatigue

This is especially true for high-performing professionals, parents, and students trying to juggle mental focus and physical stamina