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Polycythemia vera has also been reported with parenteral methylcobalamin

Taking an expired supplement may mean that they are not getting enough of the vitamin

Many patients with B12 deficiency, especially those with pernicious anemia, have difficulty clearing cyanide

Results: Vitamin B12 supplementation was associated with a significant increase in serum cobalamin levels across all routes of administration (pooled mean difference = +402.6 pg/mL

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