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Conversely, a few studies reported high levels of vitamin B12 in the blood of patients with a worse COVID-19 outcome 48,49 potentially due to cytolysis leading to the release of intracellular B12 into the plasma and disrupted B12 clearance by the liver, which is often affected in these patients 50

It is the intake evaluation that matches the dose to the injury, the compounding pharmacy relationship that guarantees the product quality, and the mid-cycle check-in that catches suboptimal response before the full cycle is wasted

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