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The following criteria were considered: Full economic evaluations: cost-utility analysis, cost-effectiveness analysis, cost-benefit analysis Economic evaluations reporting incremental cost-effectiveness ratios (i.e., cost per quality-adjusted life year/life years gained or cost per event avoided) Studies in patients with confirmed vitamin B12 deficiency Studies in English Abstracts were reviewed by a single reviewer and, for those studies meeting the eligibility criteria, full-text articles were obtained

By contrast, chronic cases involving multi-year degeneration, repetitive overuse, failed rehabilitation histories, structural instability, or longstanding inflammatory cycles usually took longer, and the results were inconsistent

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Lyophilized peptide should be stored at -20C (freezer), and the reconstituted peptide solution at 4C (refrigerated)

doi: 10.1242/jcs.259617