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In patients with diabetes, there is the development of a phenomenon called oxidative stress where bad compounds in the body, such as free radicals become present

Dumville JC, Worthy G, Bland JM, Cullum N, Dowson C, Iglesias C, et al

Bik W, Baranowska-Bik A, Wolinska-Witort E, et al

Hydroxocobalamin is the standard UK preparation, administered intramuscularly for conditions like pernicious anaemia and gastrointestinal malabsorption B12 acts as a cofactor in DNA synthesis, red blood cell formation, and nervous system function, supporting energy metabolism pathways Common side effects include injection site reactions, mild gastrointestinal upset, and temporary urine discolouration, with serious reactions being rare NHS access requires GP assessment with blood tests

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