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Cyanocobalamin: Patients with pernicious anemia should receive monthly cyanocobalamin to maintain their levels, if it does not, can cause anemia resubmit therefore develops a degeneration in the spinal nerves

NAD+ must be administered with a separate syringe and at a different site because its acidic solution can degrade the KLOW peptides on contact

But only a maximum of 5mcg of B12 enters the bile every day (according to "Advanced Haematology" 7th edition textbook, page 60), so it seems that only an additional 5mcg would be lost daily if none was recovered

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