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It does not include in-person labs drawn and reviewed by your provider
However it is yet to be approved for human consumption and remains a research compound
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Your side of the pond tends not to have access to hydroxocobalamin which is the form generally used in the UK, so the forms used are cyanocobalamin and sometimes methylcobalamin
In fact, there was a 2022 case report presented a 22-year-old student who exhibited hyperpigmentation as the only symptom of B12 deficiency
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