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Hydroxocobalamin in Neo-B12 Injection is the precursor for the enzyme co-enzyme B12 and this reacts with the enzyme Methylmalonyl Coenzyme A mutase, an isomerase required for the conversion of methylmalonate to succinate, an important step in production of lipoprotein in myelin sheath tissue, which could cause neurological problems

It is common for those who follow vegetarian or vegan diets to be vitamin B12 deficient the majority of the population relies on the consumption of meat in order to maintain a healthy level of vitamin B12

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