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Description
The resulting elevated concentrations of homocysteine and MMA are often found in patients with low serum vitamin B 12 and can usually be lowered with successful vitamin B 12 replacement therapy

This should be considered before hemodialysis is initiated in patients treated with hydroxocobalamin

It is a synthetic form of B12 with cyanide attached to the cobalamin (the B12)

The improvement in energy is often noticeable because the body is able to quickly absorb the vitamin directly into the bloodstream, bypassing any digestive absorption issues

Pickarts 2018 review references wrinkle volume reductions up to 55.8%
