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There is a paper on Hydroxocobalamin as a nitric oxide scavenger : journals.sagepub.com/doi/10

This injectable formula supports healthy red blood cell production and may help animals experiencing absorption issues related to Vitamin B12 deficiency

Why is it so important to get a suspected vitamin B12 and folate deficiency checked out

Additionally, repeated intramuscular injections can cause muscle fibrosis or nerve damage if improper technique is employed

Reduction in signaling by these molecules has been used to treat inflammatory bowel disease, rheumatoid arthritis, psoriasis, and a multitude of other autoimmune diseases[6], [7]

They may have to determine if the interaction is worth the benefit of using both drugs or if your therapeutic plan needs to be changed