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Description
Failure of this reaction occurs in elevation of methylmalonic acid (MMA), a myelin de-stabilizer
Then, they can suggest the right treatment
Weak grip strength (difficulty holding objects like cups or doorknobs) 3
Hydroxocobalamin is the preferred agent in this patient population (see separate monograph in Less Common Drugs)
Users who approach it as part of a comprehensive recovery strategy tend to achieve better outcomes than those looking for a standalone cure
