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A healthcare professional should administer your first shot so they can monitor your reaction and check for any adverse effects

Besides low serum vitamin B12, elevated methylmalonic acid (MMA) is often seen with B12 deficiency

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One possible mechanism is the induction of local oxidative stress, generating Reactive Oxygen Species (ROS) because of the thiol group, which rapidly undergoes autoxidation in the presence of oxygen and metal ion

The mechanism research has produced both basic-science findings on the molecular targets and translational-research observations in disease-model systems