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Occasional nausea

In contrast, 10 studies investigated the relationship between B12 supplementation status and homocysteine levels, encompassing a total of 191 participants (mean: 19.1 per study)

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doi:10.1631/jzus.B1100329

Indications and Usage for Hydroxocobalamin Pernicious anemia, both uncomplicated and accompanied by nervous system involvement

These include the patients health history, how bad the B12 deficiency is, and how they react to the first treatment