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If your first B12 test comes back in the "normal" range but you're still having symptoms, asking for MMA and homocysteine tests is a smart and proactive next step

Product Code: GV-BACWAT-20ML Preserved aqueous laboratory solution containing 0.9% benzyl alcohol Appearance: Colourless liquid Clarity: Clear, no visible foreign matter Supplied in sealed 20mL laboratory vial Suitable for laboratory training, procedural simulation, and educational demonstration environments Recommended disposal within 28 days after opening when used in controlled environments Not for human or veterinary therapeutic use This preserved aqueous laboratory solution is supplied in a 20mL vial and is suitable for training, procedural simulation, and educational laboratory environments

- Document renal function assessment (since gadolinium agents carry risk of nephrogenic systemic fibrosis) and any adverse reactions if applicable

The median hydroxocobalamin dose was 5 g with a range from 4 g to 15 g