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If B12 blood levels and MMA are both high, a functional B12 deficiency could be preventing B12 being useful at cell/tissue level

The safety database, while extensive for clinical trials, represents limited duration and population diversity compared to the variability encountered in clinical practice

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It is a designation used primarily by the FDA (Food and Drug Administration) for products, often in vitro diagnostic (IVD) components like reagents or instruments, that are in the laboratory research phase of development and are not intended for clinical diagnostic use

Normally after a Vitamin B12 injection, many patients start noticing the effects immediately, including more energy and feeling better