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Discard any vial showing cloudiness, particulates, or unusual coloration

if this occurs, medical advice should be sought, as it could signify an allergic or unusual response

Laboratory studies have demonstrated its effectiveness in metabolic research applications [1]

Verification with serum methylmalonic acid and/or serum homocysteine level may be necessary in asymptomatic patients with high-risk conditions, symptomatic patients with low-normal levels of vitamin B 12 (200 to 350 pg per mL), or symptomatic patients in whom vitamin B 12 deficiency is unlikely but must be excluded

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