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None of this makes MIC useless or unethical to offer
For example: Doctors need to know these equivalencies to keep care consistent when switching products
What do they do
The cost differential can be substantial, with cyanocobalamin costing roughly one-tenth the price of methylcobalamin in pharmaceutical quantities
But researchers modified three key positions to dramatically extend its half-life
This is in direct conflict with the lived experience of patients who feel their symptoms returning as the effects of the last injection wane
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