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About hydroxocobalamin

NAD + is the key coenzyme for glycolysis and the tricarboxylic acid cycle and for the conversion of carbohydrates to lipids [12]

I have trouble reaching my upper arm, and when I used to get the Dr to do it in the arm I would have pain for hours that radiated down my arm

(PubMed) Spence JD

While this represents a reasonable duration for clinical trials, it provides limited information about safety with years-long continuous use

[1] [4] Mood changes including low mood, irritability, or anxiety can be associated with declining B12 levels, though these symptoms are non-specific and can have many causes