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It is necessary for the growth and replication of all body cells and the nervous system's functioning, and deficiency causes pernicious anemia and other forms of megaloblastic anemia and neurologic lesions

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Cyanocobalamin has established antiemetic properties

doi:10.1161/CIRCRESAHA.109.198366, PMID: 19910579 Starkov AA, Fiskum G, Chinopoulos C, Lorenzo BJ, Browne SE, Patel MS, Beal MF (2004) Mitochondrial alpha-ketoglutarate dehydrogenase complex generates reactive oxygen species

Compounding pharmacies operate within a regulated framework that includes state boards of pharmacy, applicable federal law, and recognized quality standards

Pathak K, Zhao Y, Calton EK, James AP, Newsholme P, Sherriff J, Soares MJ