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Deficiency of vitamin B12 can impair the remethylation of homocysteine in which homocysteine cannot be converted to the amino acid methionine thus accumulating cellular folate as 5-methyl THF

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Minerva etal Fewer adults had low or transitional vitamin B12 status

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Surgery involves reconnecting the ligament to the bone and/or repairing the avulsion fracture using a pin, screw, or special bone anchor