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One major beneficial function is to allow the synthesis of an alternative nitrogenase when Mo is unavailable (Harwood, 2020), as discussed in section 6.3.2

Vitamin B12 is essential for red blood cell formation, DNA synthesis, and maintaining the myelin sheath that insulates nerve fibers

therefore, to achieve health benefits, the patient's individual needs must be considered ( According to IKDSG guidelines, KD use is strictly contraindicated in patients with a deficiency of carnitine (primary), carnitine palmitoyltransferase (CPT) 1 or 2, carnitine translocase, pyruvate carboxylase, medium-chain acyl-coenzyme A (CoA) dehydrogenase (MCAD), long-chain acyl-CoA dehydrogenase (LCAD), short-chain acyl-CoA dehydrogenase (SCAD), and disorders of fatty acid -oxidation and porphyria

Some of the most common symptoms of vitamin B12 deficiency include the following: Fatigue and weakness