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Description

At Cienega Medical we do refrain from treating individuals under the age of 16 however

Once the vial is first punctured, the risk of contamination increases, and additional precautions may be necessary

In the absence of coenzyme B12, tetrahydrofolate cannot be regenerated from its inactive storage form, 5-methyl tetrahydrofolate, resulting in functional folate deficiency

Daily supplementation may need to be continued, but cobalamin blood levels could be monitored with less frequent dosing to see if decreased frequency of administration is adequate