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Conclusion Whilst severe B12 deficiency has a clear clinical picture with characteristic haematological and/or neurological features, establishing mild or borderline deficiency can be problematic as serum levels are maintained at the expense of tissue concentrations, and therefore serum levels of B12 may be in the low normal or borderline range despite a deficiency

If the vial is a pure, preservative-free sterile water container, its shelf life after opening is zero

How It Works (The Patient Journey & Dosing) Your Personalized Path to Clarity Getting started is secure, convenient, and fully supported by our medical team

Dr Avinish Reddy, a longevity-focused concierge physician based in Los Angeles, notes a similar increase in interest