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Evidence-based : Ensuring clinicians understand the difference between serum B12 levels and clinically active B12 stores, and other suitable tests to determine deficiency as well as symptom resolution with sufficiently frequent treatment
Theres an initial inflammatory phase, a proliferative phase (new cells and blood vessels form), and a remodeling phase (the tissue reorganizes to something like its original state)
In rare cases, patients can experience severe allergic reactions that need immediate medical attention
Cases of allergic reactions to hydroxocobalamin with tolerance to cyanocobalamin were documented in several instances (1, 2, 3)
Subcutaneous injection delivers the peptide directly into systemic circulation, bypassing first-pass metabolism
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