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That second pathway explains why prolonged deficiency causes neurological damage and not simply anaemia

The procedure is also routinely performed in outpatient hospital clinics (POS 22 or 19), ambulatory surgery centers (POS 24) when imaging guidance or sterile technique is required, and emergency departments (POS 23) when aspiration is medically necessary to rule out infection or manage acute swelling

1 In this study, adverse events considered possibly to be caused by hydroxocobalamin were chromaturia (n=5), pink-to-red skin discoloration (n=3), increase in heart rate (n=1), and elevated blood pressure (n=1)

Vitamin B12 plays a vital role in red blood cell formation and nervous system function, helping prevent anemia and improving oxygen supply in the body

Experiments began seven days after surgery [25]

Cyanocobalamin is the most common form of cobalamins used in nutritional supplements and fortified foods