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The injected hydroxocobalamin is transported via the bloodstream to tissues throughout the body, where it acts as a cofactor for two critical enzymatic reactions: the conversion of homocysteine to methionine and the conversion of methylmalonyl-CoA to succinyl-CoA

Have had a stomach or intestinal surgery, including weight loss surgery that removes part of the stomach or intestine (i.e., sleeve gastrectomy or gastric bypass)

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Lifestyle Tips to Manage Pernicious Anemia Balanced Diet: Include B12-rich foods such as lean meat, fortified cereals, and dairy products

Additional Information & Research Details COA & Canadian Third-Party Testing Independent, verifiable Canadian third-party testing All third-party testing conducted by Integrity Peptides is performed through independent Canadian analytical laboratories