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If you are taking cyanocobalamin and have not noticed an improvement in your symptoms it could be that you are using the wrong form of vitamin B12
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These include Sanofis Lantus product, which has increased by 739 percent since coming to market and Novo Nordisks Novolog, which has increased by 628 percent since coming to market, as well as Mercks Type 2 diabetes drug Januvia, which has increased by 275 percent since coming to market
Hematocrit, reticulocyte count, vitamin B 12 , folate, and iron levels should be obtained prior to treatment
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