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MMA prevents the production of fatty acids

Moreover, one included trial directly demonstrated biochemical changes consistent with this mechanism: children with ASD who responded to methyl-B 12 injections exhibited normalization of their methylation indices, including an increase in the S-adenosylmethionine to S-adenosylhomocysteine (SAM/SAH) ratio [25]

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Seek urgent medical attention (via NHS 111 or 999 in an emergency) if you experience severe or persistent abdominal pain, persistent vomiting, signs of dehydration (such as dizziness, reduced urination, or extreme thirst), or symptoms suggestive of low blood sugar (such as shakiness, sweating, or confusion)