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Because a 4.5 mg dose uses almost the entire vial, plan vial supply accordingly

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Common symptoms include: Fatigue and weakness Anemia Neurological issues such as numbness or tingling in the hands and feet Cognitive difficulties and memory problems Glossitis and mouth ulcers Moreover, prolonged deficiency can lead to severe health complications, such as pernicious anemia and neurological damage

21 , e50214 (2020)

However, the calculation and analysis of the combination of biomarkers needs a larger case number