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This synthesis of vitamin B 12 is of no practical consequence due to its length, taking 72 chemical steps and giving an overall chemical yield well under 0.01%
The Letters
Treatment typically requires intramuscular hydroxocobalamin injections (1 mg three times weekly initially, then every 23 months lifelong) when malabsorption or neurological symptoms are present
In addition, the Supporting Factors such as sleep and hydration will materially affect results
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Typically, only mild side effects are experienced, and they may include minor blistering, swelling, or redness
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