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Referral patients convert at much higher rates than cold leads (they arrive with trust already established) and cost nearly nothing to acquire
If your vial does not clearly state the concentration in mg/mL, do not inject from it
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In fact, cobalamin deficiency is a common cause of metabolic encephalopathy, one of a number of forms of encephalopathy associated with a primary disease (such as FIP) that causes interference with normal brain function and blood-brain barrier mechanisms
Dey P, Ghosh A
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