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Synthetic vitamin B12 supplements usually have cobalamin in their name

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Where possible, avoid suddenly reducing the B 12 dose or injection frequency, as too rapid dose reduction may worsen symptoms or lead to symptom recurrence.26 Instead, gradually increase the interval between B 12 injections over the course of several months while monitoring symptoms

An autosomal recessive form of hereditary axonal motor neuropathy associated with neuromyotonia has been linked to loss-of-function mutations of HINT1, which encodes histidine triad nucleotide-binding protein 1, a type of purine phosphoramidase