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Do not recap the needle to prevent accidental needle-stick injuries

Unlike Cyanocobalamin (often used in over-the-counter supplements), Hydroxycobalamin stays active in the body for longer and releases gradually, reducing the frequency of injections needed

Pale skin Heart palpitations Shortness of breath A smooth tongue Vision loss Constipation Loss of appetite Diarrhea Gas Vision loss Mental problems like depression, memory loss, or behavioral changes Nerve problems like numbness or tingling, muscle weakness, and problems walking

It is synthesized exclusively by micro-organisms (e.g., Lactobacillus spp ) (LeBlanc et al., 2013), which are also found in the gastrointestinal tract of herbivorous animals, where the synthesis of B12 occurs and the vitamin can be acquired in animal tissues