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Tear open the sachet and consume directly or mix into water 3

Both forms ultimately provide vitamin B activity, but hydroxocobalamins longer duration in the body means injections can be given less frequently in maintenance therapy

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doi: 10.1007/s13105-024-01046-7 72

Losing weight through improved diet and exercise can also help

The MS/MS fragmentation pattern and the presence of fumarate and GSH fragments as diagnostic daughter ions (Fig