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After the resolution of the deficiency, if patients show clinical or hematologic signs associated with polycythemia vera, it is recommended they undergo further evaluations

It is worth noting that there are many food products fortified with Vitamin B12 , and many pharmaceutical supplements that contain the vitamin and can be taken without a prescription, but injections containing cyanocobalamin in the form of capsules are dispensed with a prescription after the doctor performs the necessary diagnostic tests

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These injections combine vitamin B12 with lipotropic compounds that help support the bodys ability to metabolize fats and convert food into usable energy

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2013, and FDA's December 2024 review lists the same trial set