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With this said, we look at functional ranges which are much tighter because we are looking for functional imbalances as opposed to a clinical disease

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PRECAUTIONS Doses of cyanocobalamin exceeding 10 mcg daily may produce hematologic response in patients with folate deficiency

However, community sources and pharmaceutical handling references consistently cite refrigeration at 2-8C as the documented best practice for punctured vials, for three reasons: Reduced microbial growth rate

No human efficacy claims are made