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The combination of unverified formulation, uncertain sterility, and unknown systemic effects creates a perioperative exposure that cannot be reliably risk-stratified

The limit of quantification was 2.5 ng/dL and the intra-assay coefficient of variation (CV) was 9.1% at concentration 14 ng/dL, and inter-assay CV was 9.3% at a concentration 26 ng/dL

Feeding a balanced diet, regular vet visits, and early attention to health changes help prevent and manage deficiencies effectively

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This hypothesis was confirmed by several more recent trials with sublingual or oral doses of cobalamin between 1000 and 5000 g [59]