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Generic stock can pass spec on the first puncture and drift on the 15th, or vary lot-to-lot in ways that show up only when a $300 vial reconstitutes cloudy

While a blood test is the definitive way to diagnose a clinical deficiency, it isnt always required to start B12 injections for general wellness purposes

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[78] Soil that is deficient in cobalt may result in B 12 deficiency, and B 12 injections or cobalt supplementation may be required for livestock