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However, sterile water is still preferred when the injection must be preservative-free
It also helps speed up reactions during metabolism
Examples of these health conditions include those with a lack of stomach acid, those who have undergone bariatric surgery, anemia caused by the inability to absorb the vitamin, other autoimmune digestive diseases, as well as several medications
doi:10.1016/j.atherosclerosis.2010.04.019 76
Regarding the form of vitamin B12 used, cyanocobalamin was the most common (n = 14), followed by methylcobalamin (n = 6), hydroxocobalamin (n = 4), and combinations including adenosylcobalamin in isolated cases