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If we look at different studies, however, we can see that injecting hydroxocobalamin has not been proven to be more effective in treating B12 deficiency than ingesting oral tablets available over the counter

Nothing here is an injectable
Mechanistically, nitric oxide synthase (NOS) converts arginine, NADPH, and oxygen into nitric oxide, which inhibits apoptosis by altering cellular redox states (50, 51)

Matthews NH, Li WQ, Qureshi AA, Cho E (2017) Etiology and Therapy, Chapter 1
It has its own unique morphological, biochemical, and genetic features
Fifty pounds