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5-Amino-1MQ Vials (10 mg each) A 10 mg vial covers roughly 1620 days at the 600 mcg/day target, so plan across the titration schedule

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[13] Chloramphenicol has been shown to blunt reticulocyte response to cyanocobalamin, while ethanol, colchicine, and nitrous oxide interfere with cobalamin metabolism or utilization, each warranting clinician awareness when evaluating suboptimal treatment outcomes