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I could be wrong but I'm gonna guess you're not devouring enormous quantities of liver, beans and lentils

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What happens if I accidentally shake the vial after reconstitution

[2] [1] With neurological involvement: Hydroxocobalamin 1mg intramuscularly on alternate days until no further improvement, then maintenance injections every 2 months

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These findings highlight its safety and importance in advancing long-term metabolic research (3)