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If the patient is suspected to be sensitive to cobalt or other components of cobalamin, an intradermal test dose is recommended (10, 13)

doi: 10.1111/acel.14054

Chen LY, Qiao QH, Zhang SC, Chen YH, Chao GQ, Fang LZ

Relative bioavailability measures the bioavailability of a formulation (A) of a certain medicine when compared with another formulation (B) of the same medicine, usually an established standard other than IV, or through administration via a different route

However, if you do drink alcohol and you are drinking more than 21 units per week, it is possible that the raised MCV could be a sign of excess intake