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Hydroxocobalamin is the preferred agent in this patient population (see separate monograph in Less Common Drugs)

Glyoxylate and alanine can also be converted to glycine and pyruvate, respectively, via the action of the vitamin B6-dependent enzyme, alanineglyoxylate and serinepyruvate aminotransferase (encoded by the AGXT gene)

Peptide Vials (Ipamorelin, 5 mg each): 8 weeks 2 vials 12 weeks 4 vials 16 weeks 5 vials Insulin Syringes (U-100): Per week: 7 syringes (1/day) 8 weeks: 56 syringes 12 weeks: 84 syringes 16 weeks: 112 syringes Bacteriostatic Water (10 mL bottles): Use ~3.0 mL per vial for reconstitution

You can also get it from certain supplements if youre looking to increase your intake