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Description
Vitamin B12 is involved in the development of brain and nerve cells, and it reduces the risk of birth defects

Key warning signs include persistent fatigue, tingling or numbness in hands and feet, difficulty walking or balance problems, memory impairment, and unexplained anaemia

On examination, she was afebrile, conscious, alert and oriented, noted to have pallor, bipedal oedema, hyperpigmentation over the tongue, bilateral hands and feet (Fig

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This is especially relevant for peptides that are hydrophobic, basic, prone to aggregation, or known to form cloudy or gel like solutions during standard reconstitution

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