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Once hydroxocobalaminthe form most commonly used in the UKis injected intramuscularly, it rapidly enters the bloodstream, bypassing the gastrointestinal tract entirely

Results from Vitamin Injections can be noticed as quickly as a few hours after the treatment, with more significant effects becoming apparent within days

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Metabolic pathways: B12 is a cofactor in two critical reactions: Methylmalonyl-CoA mutase: Converts methylmalonyl CoA (from odd-chain fatty acids and some amino acids) into succinyl-CoA, which enters the Krebs (TCA) cycle to make ATP (cellular energy)

Conjunctival hyperemia, corneal infiltrates, headache, ocular edema, and ocular pain have occurred in approximately 1% to 5% of patients