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The presence of macrocytosis, intramedullary hemolysis pattern, and a dramatic response to B12 replacement therapy is the mainstay in diagnosis and management

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Advanced Metabolic & "Skinny Shot" Support : B12 is foundational for lipid and carbohydrate metabolism

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The cyanide that isnt absorbed would be excreted in the feces, preventing harm to the kidneys

J Shoulder Elbow Surg (2001) 10:4935
