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Lower volumes create higher concentrations, requiring smaller injection volumes

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)

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As many with Pernicious Anaemia will attest, since 2016 GPs more and more rely on blood serum test results for B12, ignoring the low sensitivity of the test and, more concerningly for the patient, ignore the symptoms and risk factors for B12 deficiency due to a lack of knowledge about Pernicious Anaemia in the healthcare profession

Injected into the affected area or muscle for faster absorption

It's a constant reminder of a limitation, something that stops you from lifting, reaching, or even just sleeping comfortably