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As research in this field progresses, it is essential to adopt a multidisciplinary approach, integrating insights from nutrition, toxicology, molecular biology, epidemiology, agricultural science and public health
After completing his Orthopedic residency training at the Thomas Jefferson University Hospital he completed a Fellowship in Hand Surgery at the Jackson Memorial Hospital (University of Miami), Department of Orthopedic Surgery, Division of Hand Surgery

However, some say these rates are based on deficiency thresholds that are set too low

If your bloodwork shows declining B12 levels despite the compounded formulation, your prescriber may recommend additional oral or sublingual B12 supplementation

Keep documentation with the vial, protect it from heat and light, and avoid leaving it in checked baggage, parked cars, or warm luggage
