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The Journal of Organic Chemistry, 85 (3), 1764-1768

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In the UK, hydroxocobalamin injections are prescription-only medicines and should only be administered when clinically indicated

22,23 In patients with a normal or low-normal serum vitamin B 12 level, complete blood count results demonstrating macrocytosis, or suspected clinical manifestations, a serum methylmalonic acid level is an appropriate next step 1,2,6,18 and is a more direct measure of vitamin B 12 's physiologic activity

The B vitamins are used to create energy, theyre needed for the formulation of red blood cells, and to make neurotransmitters in the brain which affect mood and mental function, and theyre essential for detoxification of chemicals in the body