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Kopp MA, Liebscher T, Niedeggen A, Laufer S, Brommer B, Jungehulsing GJ, et al

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[13] Chloramphenicol has been shown to blunt reticulocyte response to cyanocobalamin, while ethanol, colchicine, and nitrous oxide interfere with cobalamin metabolism or utilization, each warranting clinician awareness when evaluating suboptimal treatment outcomes

Medicare and most payers require clear documentation of the dose administered, the week preceding the first dose (if applicable), and related CPT codes for injection administration

So it's very benign, there's no risk, and it certainly helps a lot of our patients

It is crucial to use a new, sterile syringe for each measurement to avoid any contamination or cross-contamination between different experiments