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[17] Physiologic B12 requirements increase during gestation, and parenteral cyanocobalamin is considered appropriate when dietary intake or intestinal absorption is inadequate

Unlike vitamin B12 deficiency, which produces well-recognised neurological and haematological problems, hypercobalaminaemia (elevated B12) is typically asymptomatic

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[1] It bears emphasis that no randomized controlled trial in humans has established an optimal BPC-157 dosage

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