Cocarboxylase tetrahydrate is widely used in the medical and pharmaceutical fields as a vital coenzyme in carbohydrate metabolism. It plays a crucial role in converting pyruvate into acetyl-CoA, a key step in the Krebs cycle, which is essential for energy production in cells. This compound is often administered to treat conditions related to thiamine deficiency, such as beriberi, Wernicke-Korsakoff syndrome, and metabolic disorders. Additionally, it is utilized in supportive therapy for patients with chronic alcoholism, malnutrition, or gastrointestinal diseases that impair nutrient absorption. In clinical settings, it is also employed to enhance recovery in cases of diabetic coma, heart failure, and neurological disorders. Its role in cellular energy metabolism makes it a valuable component in various therapeutic and nutritional formulations.