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9 In some cases, symptoms associated with elevated vitamin B12 levels may actually occur in people undergoing treatment for a vitamin B12 deficiency rather than from excessive intake itself

The API must be accompanied by a valid Certificate of Analysis which verifies the APIs quality and compliance with regulatory standards and conducts routine and rigorous third-party quality testing to check for potency, sterility, quality and contamination to ensure patient safety in compliance with state and United States Pharmacopeia standards

The documented convention is a 6-10 week block followed by a break, then reassessment