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The effectiveness of your hemodialysis can be affected by potentially harmful consequences like infection, constriction or ballooning of the blood vessel wall (aneurysm), or blockage
However, it requires conversion in the liver to methylcobalamin and adenosylcobalamin before it can be used in enzymatic reactions
Brand-specific in-use stability windows are typically 14 to 28 days and are documented in each manufacturer's prescribing information
Patients with an underactive thyroid or certain other medical conditions should consult their provider
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