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This can lead to a deficiency over time

Once ingested, B12 requires intrinsic factora glycoprotein produced by gastric parietal cellsto facilitate absorption in the terminal ileum

Step 8: Dispose and Log the Injection Dispose of the used syringe immediately in a sharps container

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NAD+ shortage especially affects muscle stem cells, where mitochondrial problems signal stem cell aging, which results in fewer stem cells and less regenerative potential

In the UK, hydroxocobalamin is the preferred injectable form, with cyanocobalamin rarely used in NHS practice