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We start with tests for serum vitamin B12 and methylmalonic acid (MMA) levels
In addition, in research on aging-related muscle atrophy (sarcopenia), it can promote muscle cell proliferation and differentiation, reduce muscle cell apoptosis, and enhance muscle strength and endurance by activating the SIRT1 signaling pathway
Hydroxocobalamin is administered intramuscularly, bypassing gastrointestinal absorption and entering the bloodstream rapidly
It is also required for all metabolic function
