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These include: Complete Blood Count (CBC) to check for better anemia Serum Vitamin B12 levels to make sure the dose is right Methylmalonic acid (MMA) and homocysteine levels to see how the body is reacting Reticulocyte count to see how the bone marrow is doing Clinical Improvement Markers We also watch for signs of improvement in how patients feel

Lot Traceability and Public COA Library Each vial carries a lot number tied to its analytical record (HPLC, ESI-MS, endotoxin), and that record sits in the on-page COA library indexed by lot

Symptoms can include unexplained fatigue, pins and needles or numbness, balance or memory problems, vision changes, muscle weakness or a sore, red tongue

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