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For most patients, high-dose oral B12 supplements are as effective as intramuscular injections

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Cyanocobalamin activates the metabolism of carbohydrates, proteins and lipids, promotes the synthesis of labile groups in the formation of choline, methionine, nucleic acids, creatine, accumulation in erythrocytes of compounds with sulfhydryl groups, stimulates bone marrow function, normalization of the nervous system, through the placental barrier, activates the blood coagulation system, in high doses increases thromboplastic activity and prothrombin activity