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Unlike deficiency states, which produce well-characterised neurological and haematological symptoms, there is no clearly defined clinical syndrome associated with B12 excess from supplementation alone

The aspartic acid residue is highly susceptible to dehydration, forming a cyclic imide that can then hydrolyze into either the original form or an inactive iso-aspartate analog

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Whether youre a fan of canned or cooked tuna, both provide many essential nutrients, including vitamin B12

If the note says "difficulty swallowing" or "dysphagia," use the right R13.1x code