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Both medications are administered as once-weekly injections and are effective options for weight management

In individuals with B12 deficiency, the activity of methylmalonyl-CoA mutase is damaged, and as a result, the levels of methylmalonic acid (MMA) in the body increase [11, 18]

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For long-term treatment, incorporating B vitamins into the feed using swine vitamin premix or top-dressing with supplements like Show Bloom is an option, though direct administration remains the most reliable method

This finding aligns with current AAFP clinical guidance recommending oral therapy as a first-line option for most patients