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Impaired activity of methionine synthase results in elevated blood concentrations of homocysteine, while impaired activity of L-methylmalonyl-CoA mutase results in increased concentrations of a metabolite of methylmalonyl-CoA called methylmalonic acid (MMA) in blood and urine

Imbalances in serotonin can lead to mood disorders, including anxiety and depression, which can disrupt sleep

The solution is usually administered intramuscularly (into the muscle) or intravenously (into a vein)