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Do not inject the medicine at this time

The cation of 2 , R 3 , and R 4 are hydrogen

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Check all values against the product label, certificate of analysis, and any applicable professional guidance before relying on the result

A vitamin B12 injection is needed after gastric banding when oral supplementation has failed to correct a documented deficiency, serum B12 remains persistently low, the patient cannot adhere to daily oral tablets, or there are signs of neurological or haematological complications