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Seafood, such as clams, and fish like sardines, tuna, trout, and herring
We know that macrocytosis is a very, very late stage of B12 deficiency and that severely deficient patients may not present with this sign, the administration of folic acid also masks macrocytosis by normalising the size of the blood cells
It should include: Batch number and lot code Testing methods (HPLC, mass spec, LAL endotoxin) Numeric results and acceptance criteria Analysts signature and date Look for at least 98% purity for clinical use
It represents the floor of clinical diligence that informed consent and standard of care would require
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