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If you find that any side effects persist for longer than this or get worse over time, stop taking your medication and contact your prescriber as soon as possible
Reduction of 2-methoxy-1,4-naphtoquinone by mitochondrially-localized Nqo1 yielding NAD(+) supports substrate-level phosphorylation during respiratory inhibition
This helps to force the liquid vitamin into the syringe
1 2 3 "Vitamin B12, folate, and the methionine remethylation cycle-biochemistry, pathways, and regulation" (PDF)
Stomach acid changes, intestinal conditions, and autoimmune processes such as pernicious anemia can impair B12 uptake
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