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One capsule per day is sufficient for optimal dosage

The pentose phosphate pathway can also function as an anabolic pathway that utilizes the six carbons of glucose to generate five carbon sugars, particularly ribose-5-phosphate (R5P) that is required for purine and pyrimidine nucleotide biosynthesis

Drug-Drug Interactions: Methycobal 500 MCG Injection 5 x 1 ml may interact with anticancer medications (arsenic trioxide), antimetabolites (mercaptopurine), antibiotics (chloramphenicol), and oral contraceptives

Myocardial hypertrophy leads to increased oxygen consumption with decreased exercise tolerance and possible myocardial ischemia and fibrosis