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Additional information Competing interests The authors declare that they have no competing interests
Homocysteine transsulfuration (breakdown into other molecules) Each of these pathways is dependent on specific enzymes and essential cofactors, particularly B vitamins (B6, B9, B12), betaine, and choline
Theres a lot of variability from one person to another
Typically, Vitamin B12 will be given to the shoulder muscle in our office
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