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Physical examination was consistent with phrynoderma

You should take B12 shots if you suffer from B12 deficiency, especially if you are not able to absorb B12 through the stomach (pernicious anemia)

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115 , 116 The guidelines for diagnosis and management of the cobalaminrelated remethylation disorders recommend treatment with parenteral hydroxylcobalamin in suspected cases of remethylation disorder, the incidence of serious complications, and for significant improvement in patient survival

And proper mixing with bacteriostatic water ensures sterility and stability throughout the cycle

Tryptophan is light-sensitive