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Subcutaneous vitamin B12 administration using a portable infusion pump in cobalamin-related remethylation disorders: a gentle and easy to use alternative to intramuscular injections | Orphanet Journal of Rare Diseases | Springer Nature

Some patients may need additional evaluation or labs depending on symptoms, history, and the clinician's judgment

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AHK-Cu works through stimulation of dermal papilla cells, reduction of TGF-beta-1, upregulation of VEGF (which builds new vessels rather than widening existing ones), and inhibition of apoptosis