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This structural difference affects stability, bioavailability, and conversion requirements in the body

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This decyanation process is demanding: Although the amount of cyanide is considered toxicologically insignificant, humans must remove and detoxify the cyanide molecule, reduce the cobalamin to its usable +1 oxidation state, and then enzymatically convert the cobalamin into one of two metabolically active coenzyme forms

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She has special interest in diagnosing and treating conditions affecting women and children and has additional qualifications from the Faculty of Sexual and Reproductive Healthcare (DFSRH) and a Diploma from the Royal College of Obstetricians & Gynaecologists (DRCOG)