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4 Hydroxocobalamin : A form of vitamin B 12 used in injectable medications, often used to treat vitamin B 12 deficiency

It is also found in foods such as meats, fish, nuts, beans, spinach and eggs

When NNMT is overactive, it consumes excess NAD+, leaving less available for these critical processes

This helps to force the liquid vitamin into the syringe

The effect of oral cobalamin treatment in patients presenting with severe neurological manifestations has not yet been adequately documented

however, cases of hypercobalaminemia in leukemia, autoimmune diseases, and pulmonary and renal dysfunction have also been observed (Andrs et al., 2013