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The peptide does not suddenly become toxic at the expiration date
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In contrast, it would appear that the neurologic effects of cobalamin deficiency are due to metabolic disturbances unrelated to purine synthesis because the neurologic deficits may develop independently of the hematologic abnormalities, and folate supplementation will not prevent or reverse these deficits
However, on average patients will see a response from the vitamin B12 injections around 48 to 72 hours after, with brisk production of new red blood cells
It was not tested as an injectable because that would be commercially unpalatable
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