If the product develops a sour, rancid, or ammonia-like smell, peptide bonds have hydrolyzed and amino acids are breaking down further into amines and organic acids
Waltham, MA: Academic Press, Elsevier
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For patients on established B12 injection therapy, monitoring is based primarily on clinical response and haematological parameters rather than routine serum B12 measurements, which may remain very high without indicating harm or overtreatment
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