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Serious side effects are rare, occurring in less than 1 percent of users
Missing necessary treatment can allow deficiency and neurological problems to worsen
Future trials should also measure important outcomes such as the clinical signs and symptoms of vitamin B 12 deficiency, health related-quality of life, socioeconomic effects, and report adverse events adequately, preferably in a primary care setting. Clinical practice guidelines British Columbia Medical Services Commission (MSC)
Under no circumstances should it be utilized as a drug, agricultural or pesticide product, food additive, or household chemical
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