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In some postmarketing cases of impaired neonatal renal function, invasive procedures such as exchange transfusion or dialysis were required (9)

Consequently, its rapid metabolism into active fragments and lack of systemic accumulation highlight a strong clearance profile, reducing the potential for peptide build-up or toxicity

After the hydrolysis, it is converted to one of the two active formsmethylcobalamin or adenosylcobalamin (also known as coenzyme B12) [12]

It is the most abundant mineral in the body with several roles, including blood vessels and muscle contraction and expansion, the secretion of hormones and enzymes, and the transmission of messages through the nervous system