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It is taken once a week through one nostril

CONCLUSION: These studies in anesthetized rabbits demonstrate that the moderate pressor effect of hydroxocobalamin is not related to the formation of cyanocobalamin but is very likely related to the scavenging of nitric oxide by hydroxocobalamin

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Having said that I used to sometimes think those injections would work better than some that had been sitting out longer, or maybe it was purely coincidence

It may contribute to a more youthful physiological state, extending longevity and lowering the risk of age-related disorders, by perhaps slowing cellular senescence, or the aging of cells