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Two other surrogate markers of B12 deficiency are elevated homocysteine and MCV, although several other nutrient deficiencies can cause these levels to be elevated, so be sure to work with your provider when interpreting any lab test results

J Paediatr Child Health 2020;56:751-6

It can turn into months of guessing and hoping something changes

Its generally recommended to avoid eating for a couple of hours before dosing, as elevated insulin levels can interfere with growth hormone release

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What inclusion on the 503A Bulks List actually authorizes Inclusion on the 503A Bulks List means FDA has determined, through formal rulemaking, that a bulk drug substance may be used in 503A patient-specific compounding