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In fact, when methylcobalamin donates its methyl group to homocysteine, the cobalamin (the B12) can then convert to hydroxocobalamin, a form of B12 that can act as a scavenger of nitric oxide radicals in the body
Medication use, infection risk, imaging, and physical exam findings matter more than labs alone
This speeds dissolution and reduces the chance of visible particles that are actually just slow-dissolving peptide rather than damaged product
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This is explicitly stated in Hospira's own labeling for their bacteriostatic water for injection product
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