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Kidney Dysfunction: While the kidneys do not directly excrete vitamin B12 efficiently, impaired renal function may lead to elevated serum B12 levels by reducing the clearance of B12-binding proteins or altering their metabolism, thereby contributing to B12 accumulation 8

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The Hydroxocobalamin 20 mg/ml Injection Solution is contained in a small glass container designed to hold sterile liquid medication, typically administered through injection using a syringe