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Neurobion Clinical Relief and Regeneration for Your Nervous System

[9] Stress has effects on the immune system, which may explain why some cases directly correlate with stress

Regular or overuse of antacid medications such as proton pump inhibitors (PPIs)/ATP-ase inhibitors can negatively affect protein digestion and vitamin B12 absorption

Hydroxocobalamin may also be given intravenously in certain scenarios (for example, 5 g IV for acute cyanide poisoning antidote therapy), but such high-dose use is in emergency settings and distinct from routine deficiency treatment