I administer B12 injections subcutaneously, which means right under the skin and not into the muscle
Elderly patients may have normal B 12 levels with clinically significant B 12 deficiency
NAD participates in redox reactions, energy metabolism and the activity of several signalling enzymes
[21] Within cells, cyanocobalamin is converted to methylcobalamin and 5- deoxyadenosylcobalamin, coenzymes that participate respectively in homocysteine remethylation to methionine and in the isomerization of methylmalonyl-CoA to succinyl CoA, reactions essential for DNA synthesis, erythropoiesis, and myelin maintenance
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They are administered through small subcutaneous injections similar to insulin shots