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Description
Performance of the serum cobalamin assay for diagnosis of cobalamin deficiency
Vitamin B 12 (cobalamin) deficiency is a common cause of megaloblastic anemia, a variety of neuropsychiatric symptoms, and elevated serum homocysteine levels, especially in older persons

This means the palpitations should gradually start to fade

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Nitrous oxide is dangerous because it inactivates and oxidizes the +1 cobalamins back to their former +2 and +3 forms
This helps equalize the pressure in the vial and makes drawing the liquid much easier