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*Only available by prescription from provider after virtual consultation

options include high-dose oral cyanocobalamin (1,000 mcg daily) or intramuscular hydroxocobalamin injections, with IM injections preferred for confirmed deficiency or neurological symptoms

Effects of aminoguanidine, an inhibitor of inducible nitric oxide synthase, on nitric oxide production and its metabolites in healthy control subjects, healthy smokers, and COPD patients