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Homocysteine can be converted back to methionine in a reaction catalyzed by vitamin B 12 -dependent methionine synthase, which requires 5-methyltetrahydrofolate (5-meTHF) as a methyl donor
Most patients continue monthly maintenance for sustained results
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So Akkermansia is best thought of as one part of a broader, gut-supportive approach to discuss with your clinician, not a proven remedy for GLP-1 side effects
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