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It detects what your body produces when breaking that drug down

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Helpful Patient Education Cyanocobalamin Injection, USP is a vitamin B12 injection used for vitamin B12 deficiency related to malabsorption, including pernicious anemia and certain gastrointestinal conditions

K-means clustering analysis of amplicon sequence variants by animal demonstrated that NNMTi-treated DIO mice switched to LD had a distinct microbiome pattern that was highlighted by decreased Erysipelatoclostridium and increased Lactobacillus relative abundances compared to vehicle counterparts

PMID 23356970