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It is now clear, however, that paracetamol acts via (at least) two pathways.[6][7][8][9] The COX family of enzymes are responsible for the metabolism of arachidonic acid to prostaglandin H2, an unstable molecule, which is, in turn, converted to numerous other pro-inflammatory compounds

When B12 is given this way, it goes directly into the bloodstream through the muscle tissue instead of first passing through the digestive system