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Hydroxocobalamin in Vita-B12 Injection is the precursor for the enzyme co-enzyme B12, and this reacts with the enzyme Methylmalonyl Coenzyme A mutase, an isomerase required for the conversion of methylmalonate to succinate, an important step in production of lipoprotein in myelin sheath tissue, which could cause neurological problems

It is essential to promote a healthy gut microbiome by consuming a balanced diet with fiber-rich foods, avoiding processed foods, and taking probiotics or fermented foods