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However, if the patient has inborn errors in the methyltransfer pathway (cobalamin C disease, combined methylmalonic aciduria and homocystinuria), treatment with intravenous or intramuscular hydroxocobalamin is needed

Animal figures dont translate by bodyweight: Multiplying a mouse mg/kg dose by human weight is not how interspecies dosing works, and no properly scaled number would be validated anyway

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Identifying the underlying cause requires comprehensive clinical assessment and targeted investigations