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[21] Within cells, cyanocobalamin is converted to methylcobalamin and 5- deoxyadenosylcobalamin, coenzymes that participate respectively in homocysteine remethylation to methionine and in the isomerization of methylmalonyl-CoA to succinyl CoA, reactions essential for DNA synthesis, erythropoiesis, and myelin maintenance
Sawaya RA, Jaffe J, Friedenberg L, Friedenberg FK
This is not seen in most other forms of arthritis and should immediately raise suspicion for psoriatic arthritis when present alongside skin or nail changes
Subsequent exposures cause faster and often more intense reactions
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