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Precautions 1.This product is highly toxic, and the intramuscular injection dose should be strictly controlled

The reports were particularly noteworthy as a major feature was liver failure (BMJ) [9]

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[21] Within cells, cyanocobalamin is converted to methylcobalamin and 5- deoxyadenosylcobalamin, coenzymes that participate respectively in homocysteine remethylation to methionine and in the isomerization of methylmalonyl-CoA to succinyl CoA, reactions essential for DNA synthesis, erythropoiesis, and myelin maintenance