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Patients should be informed of the pros and cons of oral versus parenteral therapy, and regardless of the form of treatment, those with pernicious anemia or malabsorption should be reminded of the need for lifelong replacement

2.6.14.) Total aerobic microbial count: Not detected Yeast and mold count: Not detected Heavy metals (As, Cd, Co, Pb, Ni, Hg, V): Not detected You can download the full COA directly from our Lab-Tested COAs page

however your doctor will be able to provide you with further information