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This reaction effectively diverts nicotinamide away from the NAD+ salvage pathway, reducing the cell's capacity to regenerate NAD+
A qualified clinician assesses you, selects the right needle and route, and gives the injection using single-use equipment and a clean technique, so it is quick, comfortable and safe
Adults usually get 1000 mcg (1 mg) of vitamin B12 per injection
Patients need to learn how to do this safely, if they need to do it themselves
When taken orally, B12 may not absorb efficientlybut an injection bypasses the digestive system and goes directly into the bloodstream, ensuring maximum effectiveness
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