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The effects of vitamin B-12s mechanism of action within the human body include production of new red blood cells, maintenance of healthy neurological cells, and synthesis of DNA

These elevations are generally harmless, as excess B12 is excreted renally

This inhibition reduces intracellular 1-methylnicotinamide (1-MNA) production (EC50 = 2.3 M) and preserves nicotinamide availability for the NAD+ salvage pathway

Elderly patients tend to have a greater frequency of decreased hepatic, renal, or cardiac function, and also have concomitant disease or receiving other drug therapy

These injections contain a synthetic version of the vitamin called cyanocobalamin and are usually given directly into a muscle by a healthcare provider

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