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The substance is safe for use in medicines according to ICH standards, and the quality is the same from one batch of production to the next

The vitamin has low toxicity, so supplementation carries minimal risk, but also likely provides no benefit if stores are adequate

"Mutation spectrum of MMACHC in Chinese pediatric patients with cobalamin C disease: A case series and literature review"

This is due to something called bioavailability

Injections are one option a provider may recommend when a deficiency is confirmed, especially when absorption is a concern

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