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Cyanocobalamin: A Dietitian Explains. Very Well Health

However, the largely elevated IGF-II serum levels in that model are more likely a secondary finding, while the lack of clearance of paracrine/autocrine IGF-II is the explanation for the excessive growth

For patients with severe cases of anemia or B12 vitamin deficiencies, a form of vitamin B12 called Hydroxocobalamin is sometimes used and does require a prescription