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B12 is contraindicated in Lebers Disease (a hereditary optic nerve atrophic condition), clients with chronic liver and/or kidney dysfunction, or abnormal red blood cells (megaloblastic anemia)

What Does Vitamin B12 Actually Do in Your Body

Medicaid MLTSS programs have become more prevalent in recent years

Liu and Y
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As far as is known, the beneficial effect on the periphery suggests a corresponding beneficial effect on central systems