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Some of these problems include neurological disorders, brain atrophy, demyelination, delayed cognitive development and growth, mental retardation, lack of emotional and communicative responses, lack of smiling and willingness to play, extreme fatigue, vomiting, tremors and convulsions, gait and motor coordination disorders, severe megaloblastic anemia, thrombocytopenia, pancytopenia, which can lead to coma, respiratory failure, and death

We publish HPLC chromatograms and LC-MS/MS spectra for every lot

Additionally, serum levels of methylmalonic acid (MMA), a metabolite associated with vitamin B12, serve as sensitive markers of deficiency, with an MMA level greater than 0.271 micromol/L suggesting deficiency

Also, it may be more relevant for extreme paracetamol toxicity in patients (3)