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One reason may be less clear guidance to primary care providers on the potential requirement for supplementationin this cohort, GPs were less likely to contact patients after STG regarding supplementation

In Be(2)-C, significant toxicity occurred only after 72 hours with the triple combination ((M+D+V)/3) ( Figure 4C )

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Because methylcobalamin is classed as a nutritional supplement and is not a licensed prescription only medicine in the UK, it is not available via the NHS and is being offered more and more by non-healthcare and non-prescribing practitioners as a treatment for wellness, fatigue, and to boost energy, without making any medical claims around deficiency, and is rarely combined with a supplement of adenosylcobalamin