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There is no direct treatment for high vitamin B12 because the elevated level itself is not a disease
7.4 Parthanatos and lysosome-dependent cell death Parthanatos is a form of RCD initiated by the hyperactivation of poly (ADP-ribose) polymerase 1 (PARP1) in response to massive oxidative stress and DNA damage (222)
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This suggests that all forms of vitamin B12 methylcobalamin, aquacobalamin, and hydroxocobalamin interact with these biological agents by breaking Co-C or Co-O bonds, except for cyanocobalamin
IV therapy also keeps you hydrated
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