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Some patients may transition safely under medical supervision, while others may experience increased appetite or weight regain if medications are stopped too quickly

If the patient is suspected to be sensitive to cobalt or other components of cobalamin, an intradermal test dose is recommended.[12][15] Several laboratory tests should be performed prior to treatment with cyanocobalamin, including serum vitamin B12, folate, iron, hematocrit, and reticulocyte count

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10.1021/bi990321r 159 SrivastavaV.LiuZ.WeiW.ZhangY.PatonJ

GH has also been used experimentally in patients with short bowel syndrome to lessen the requirement for intravenous total parenteral nutrition