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Optimal doses specifically for disc repair have not been established through dose-finding studies

The lack of adequate cobalamin in the body hinders the regeneration of tetrahydrofolate, which eventually leads to megaloblastic anemia due to the functional folate deficiency.[9][10] On the other hand, the methylmalonyl-CoA mutase helps to metabolize odd chain fatty acids and branch chain amino acids.[5] Cobalamin is also thought to keep the bodys level of sulfhydryl (SH) groups in reduced form

TZD = thiazolidinedione

A physician may consider several maintenance pathways: Continuing the current medication and dose if it is effective and well tolerated