The most prominent reason is the limited dietary sources of vitamin B12, which is primarily found in animal products such as meat, fish, dairy, and eggs

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Anaphylaxis: A very rare, life-threatening allergic reaction to the injection formula or its preservatives
1999 (Pharm Res) Type Phase I PK/PD Subjects 40 healthy male volunteers Key Finding Dose-proportional pharmacokinetics
They didnt hesitate to resend the order
Falling within the reference range is typically a good sign, but it doesn't guarantee your levels are sufficient to support optimal function