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were identified in compound heterozygous state

A study from The Netherlands (Riphagen, 2020) found that after 8.5 years of follow-up of an older cohort (median baseline age=65), a doubling of baseline MMA levels was associated with an increased risk of mortality (HR 11.48, CI 3.3239.64)

Anaphylactic shock and death have been reported after parenteral Vitamin B 12 administration

If an overdose is suspected, or an adverse reaction occurs after applying cyanocobalamin dosage, contact your veterinarian immediately

However, while B12 shots are safe for many, they may not be suitable for everyone
