Hydroxocobalamin is widely recognized for its stability and sustained activity compared to other forms of cobalamin
We always frame it that way so you know what to expect and can build a routine that actually lasts
National Academies Press (US)
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But because unexplained hypercobalaminemia has been consistently associated with an elevated risk of subsequent cancer diagnosis in large population studies, its one of those lab results worth following up on rather than hoping it goes away
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