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The Need for Clinical Management Hydroxocobalamin injections are licensed to treat conditions, such as Pernicious Anaemia, that require an initial diagnosis and ongoing clinical monitoring by a physician

Vitamin B12 is naturally present in foods such as meat, fish, and dairy, where it binds to protein and is dissociated by gastric acid during digestion, enabling it to be taken into circulation

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(2017) "Design and synthesis of NNMT inhibitors with tunable cell permeability." Published in Journal of Medicinal Chemistry

Lidocaine local anesthetic used to decrease the pain associated with intramuscular injection

Alternative therapies may include physical therapy , massage, acupuncture , and mindfulness-based stress reduction techniques