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The formulation was created for clinical settings in which oral supplementation is impractical or where rapid, predictable plasma amino-acid levels are required, such as peri-operative cardiovascular optimization, growth-hormone stimulation testing, or specialized sports-medicine protocols

Swab both vial tops with an alcohol wipe

Major metabolites are synthesized as reference standards

Oral administration of cobalamin is as effective as parenteral Advantages of oral supplementation are comfort, ease of administration, and cost

They are not licensed, can only be sold for testing purposes and are not suitable for human consumption