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B-complex vitamins such as B1, B2, and B6 for comprehensive metabolic support

Enzymatic polysorbate degradation may impair the functionality of the surfactant in stabilising therapeutic proteins, leading to the formation of visible and/or sub-visible particles in biopharmaceutical drug products

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Rare hypersensitivity reactions , including cobalt allergy (as cobalamin contains cobalt), have been documented

Sudden changes in the diet, especially increased or excessive grain consumption, can decrease the PH in the rumen and disturb the thiamine production of the microorganisms there

The starting dose is 2.5 mg per week