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Although initial clinical assessment pointed toward a potential hematologic malignancy, comprehensive testing, including SPEP, reticulocyte count/fraction, serum folate, and serum vitamin B12, revealed only severe vitamin B12 deficiency, with a level of less than 150, with the presence of IF antibodies

Some clinics may offer it as a nasal spray or troche, though injection remains the most effective delivery method

Chemical Information Handling: Providing storage is as stated on the product vial and the vial is kept tightly sealed, the product can be stored for up to 24 months

While it often flies under the radar, your skin may be the first to alert you that somethings off

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