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If folate deficiency is suspected, it is reasonable to give oral folic acid (0.4 1 mg/day) without doing laboratory investigation for deficiency at least until the hemoglobin and mean corpuscular volume normalizes (or longer if the underlying cause cannot be eliminated)
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That does not mean the injection is doing all the work
It is considered as requisite part of every pharmaceutical production as it ensures the safety and potency of product
In simple terms, methylcobalamin is ready to work as soon as it enters your system
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