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Accelerating the repair and regeneration of damaged myofibers, promoting myotube formation and maturation, and restoring muscle structure and function

The figure shows the precursors of L-methylmalonyl-CoA: Fatty acids and amino acids can be metabolized to propionyl-CoA, which is converted to D-methylmalonyl-CoA and then to L-methylmalonyl-CoA

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Enhanced oxidative capacity may involve increased mitochondrial fatty acid uptake via carnitine palmitoyltransferase-1 (CPT-1), enhanced beta-oxidation enzyme expression, and modulation of uncoupling protein expression

Insurance rarely covers this unless you have a documented deficiency and a physician's order

There's limited evidence that doses above 600mcg provide additional benefit