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Once hydroxocobalaminthe form most commonly used in the UKis injected intramuscularly, it rapidly enters the bloodstream, bypassing the gastrointestinal tract entirely
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Alternative medicine review, 11(4)
Its activity profile is best understood as systems-level: published in vitro and in vivo work has documented effects on fibroblast proliferation, collagen and growth-factor receptor expression, endothelial migration, nitric oxide system signalling, and dopamine and serotonin pathway markers
