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Haemoglobin levels begin to rise after about one week, whilst the mean corpuscular volume (MCV), which is typically elevated in B12 deficiency, gradually normalises

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Other drugs may interact with cyanocobalamin, including prescription and over-the-counter medicines, vitamins, and herbal products

In America, B12 deficiency is evidenced as a serum level below 200 pg/ml (145 pM)

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