pregnancy and lactation warrant specialist oversight since megadose therapy is generally reserved for severe, documented deficiency that cannot be corrected by standard oral supplementation
The complete AOD 9604 dosing guide covers the specifics, but for combination purposes, here is what matters
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The starting structure of AdoCbl from the crystal structure was used as the starting geometry and the starting structure of OHCbl was created by replacing the adenosyl group with OH group in AdoCbl
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