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Vitamin B12 converts carbohydrates into glucose, leading to energy production and a decrease in fatigue

There are two possible pathways for photodissociation that can be identied for EtPhCbl but only one (path B) is energetically feasible and involves the lengthening of the CoN Im bond through the MLCT region followed by the lengthening of the CoC bond through the LF region

Myelosuppression: Inform patients of the risk of low blood cell counts and instruct them to immediately contact their physician for signs of infection, fever, bleeding, or symptoms of anemia [see Warnings and Precautions (5.1)]

This observation demonstrates that, in spite of its poor outcome reported by several authors, peripheral neuropathy induced by vitamin B12 deficiency can recover completely with substitutive treatment