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In the cblC, cblD, cblF, cblG, cblJ, and cblX group of disorders, the synthesis of both adenosylcobalamin and methylcobalamin are affected, leading to combined methylmalonic aciduria and homocystinuria

Vegetarians and vegans who do not consume these foods may have a higher risk of L-Carnitine deficiency

The two methene bridges and usually the two vinyl groups are then reduced by bacterial flora to form a series of colorless tetrapyrroles called urobilinogens ( 231 )