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Patience and consistency matter more than dose tweaking or adding more compounds

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Patients with more severe or longstanding deficiency may take longer to notice the full benefit

An unusual presentation of vitamin B12 deficiency associated with massive splenomegaly, hemolytic anemia, and pancytopenia: A case report

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Peptide Vials (TB500, 10 mg each): 8 weeks 4 vials 12 weeks 7 vials 16 weeks 10 vials Insulin Syringes (U100): Per week: 7 syringes (1/day) 8 weeks: 56 syringes 12 weeks: 84 syringes 16 weeks: 112 syringes Bacteriostatic Water (10 mL bottles): Use ~3.0 mL per vial for reconstitution