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For maintenance, those with pernicious anaemia may need injections for life, while others might transition to a less frequent schedule or use tablets if the deficiency is diet-related

[13] In the first step of the reaction, acyl-CoA synthetase catalyzes the transfer of adenosine monophosphate group (AMP) from an ATP molecule onto the fatty acid generating a fatty acyladenylate intermediate and a pyrophosphate group (PP i )

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However, taking supplements may not be advisable for everyone