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In a patient receiving vitamin B12 injections who has a serum B12 level of 1230 pg/mL (reference range up to 771 pg/mL), should the injection dose be reduced or is the elevated level clinically insignificant?

Absence of ADAMTS13 Deficiency : Unlike TTP, pseudo-thrombotic microangiopathy in B12 deficiency doesnt have a lack of ADAMTS13, an enzyme

This mechanism, however, seems to be unlikely for SOM because the presence of a large number of homogeneously mixed organic compounds in SOM can facilitate the formation of a stable liquid or amorphous state, even in the absence of water 33,34

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BPC-157's Regulatory History BPC-157 has had a turbulent regulatory journey in the United States: Pre-2023: BPC-157 was widely available through compounding pharmacies under the 503A framework