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It achieves this by enhancing blood flow through angiogenesis, the formation of new blood vessels, which is essential for supplying nutrients and oxygen to injured areas and removing waste and inflammatory byproducts[2][5]

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If the patient is suspected to be sensitive to cobalt or other components of cobalamin, an intradermal test dose is recommended.[12][15] Several laboratory tests should be performed prior to treatment with cyanocobalamin, including serum vitamin B12, folate, iron, hematocrit, and reticulocyte count

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