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You have no guarantee that what is in the vial matches what is on the label, and there is no regulatory body holding these vendors accountable
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If you already have a diagnosed deficiency under NHS care and your symptoms return before your next scheduled dose, that is a conversation to have with your GP, who can review the schedule
21 However, as all supplemented forms are converted to cobalamin, which then gets converted to either the methyl or adenosyl form, 18 this does not appear to be plausible
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