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The injection Hydroxocobalamin is given as an intramuscular injection (into a muscle), typically by a trained healthcare professional

Mass spectrometry can support identity confirmation, but a matching mass alone does not characterize sequence-related impurities, positional isomers, disulfide variants, aggregates, residual reagents, or all degradation products

The abstracts of the remaining 49 articles were evaluated for relevance

Studies indicate possible nootropic effects through enhanced cellular energy metabolism, improved mitochondrial function, and reduced oxidative stress

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