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Clinical indications include deficiency due to inadequate diet or malabsorption, drug-induced deficiency (for example, from long-term isoniazid or oral contraceptives), and certain inborn errors of metabolism (such as pyridoxine-dependent seizures or sideroblastic anemia)

As a result , many patients find it much easier to stick to a nutritious eating plan without feeling deprived

The cost of the drug or substance administered is not included

The result is helpful if the level is high and may confirm a gout flare if supported by the history and physical examination

By restoring cellular energy production and central nervous system health, liquid methylcobalamin may help manage several core issues faced by patients with complex chronic illnesses