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Chronic kidney disease (CKD), particularly in later stages, is a recognized cause of hypercobalaminemia
However, it has been classified as GRAS (Generally Recognized As Safe) as a food additive, and is commonly used in regenerative medicine under professional supervision
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Swab the top of the vial with 95% alcohol wipe before accessing
2 There is insufficient data to recommend other formulations of vitamin B 12 replacement (e.g., nasal, sublingual, subcutaneous)
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