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History [edit] Descriptions of deficiency effects [edit] Between 1849 and 1887, Thomas Addison described a case of pernicious anemia, William Osler and William Gardner first described a case of neuropathy, Hayem described large red cells in the peripheral blood in this condition, which he called "giant blood corpuscles" (now called macrocytes), Paul Ehrlich identified megaloblasts in the bone marrow, and Ludwig Lichtheim described a case of myelopathy

A more meaningful comparison: what would the equivalent components cost if bought separately at standalone vial pricing

Best For Low energy, metabolic support, nutrient deficiency Method Intramuscular Vitamin B Complex injections Eligibility for HSA or FSA reimbursement depends on your individual plan and medical necessity