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Diagnosis of Vitamin B12 deficiency involves a blood test to measure serum B12 levels, along with other relevant diagnostic tests like complete blood count (CBC) and peripheral blood smear

For research handling it is typically reconstituted with bacteriostatic water

Am J Physiol Endocrinol Metab

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Healthcare professionals who encounter patients using unlicensed peptides should approach the conversation without judgement, document use carefully, and consider appropriate baseline investigations including liver function tests, lipid profile, and renal function