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Although instructions for patients are supplied with individual bottles, procedures for use should be demonstrated to each patient.

The chemical structure of B12 consists of a cobalt atom and four pyrroles in the center of corrin ring bound to a nucleotide part (ribose)5,6-dimethylbenzimidazole (Figure 1) [6]

Especially preferred heteroaryl groups include 1,2,3-triazole, 1,2,4-triazole, 5-1,2,4-triazole, imidazole, oxazole, isoxazole, 1,2,3-oxadiazole, 1,2,4-oxadiazole, 3-amino-1,2,4-oxadiazole, 1,2,5-oxadiazole, 1,3,4-oxadiazole, pyridine, and 2-aminopyridine.amino The term heterocycle or heterocyclic ring, as used herein except where noted, represents a stable 5- to 7-membered monocyclic-, or stable 7- to 11-membered bicyclic heterocyclic ring system, any ring of which may be saturated or unsaturated, and which consists of carbon atoms and from one to three heteroatoms selected from the group consisting of N, O and S, and wherein the nitrogen and sulfur heteroatoms may optionally be oxidized, and the nitrogen heteroatom may optionally be quaternized, and including any bicyclic group in which any of the above-defined heterocyclic rings is fused to a benzene ring

Elevated value of serum MMA was robustly associated with all-cause mortality in Cox regression models (Table 2)

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