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The average diet supplies about 5 to 15 mcg/day of vitamin B 12 in a protein-bound form that is available for absorption after normal digestion
The first thing you need to do is understand why this happens and what you can do to prevent it
In practice, this involves giving an initial 4 g IV infusion of pyridoxine, followed by repeated 1 g IM injections every 30 minutes until the total matched dose is reached
Aggressive shaking creates foam and can denature the molecules at the air-liquid interface
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