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Chihara, K., et al (2006)

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A: Use of POLYBION INJECTION is recommended when prescribed by a doctor or veterinarian, usually in cases of documented or suspected vitamin B-complex deficiency, after illness, surgery, or during recovery, and in stress-related nutritional depletion

The carrier and any preservatives are part of the formulation question and vary across self-reported recipes

25 Patients diagnosed with vitamin B 12 deficiency whose history and physical examination do not suggest an obvious dietary or malabsorptive etiology should be tested for pernicious anemia with anti-intrinsic factor antibodies (positive predictive value = 95%), particularly if other autoimmune disorders are present