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IM injections involve the direct administration of vitamin B12 into the muscle tissue, typically in the form of hydroxocobalamin or methylcobalamin
This pathway is described in the Sphingolipid Metabolism and the Ceramides page
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Freeze/thaw cycles can degrade peptide structure and should generally be avoided
This is why injections are a standard medical treatment for conditions like pernicious anemia, malabsorption syndromes, and deficiencies related to gastrointestinal disease or surgery
doi:10.1093/ajcn/86.5.1563S
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