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A codified approach is needed to determine the potential indications of a search for high serum cobalamin and the practical clinical strategy to adopt upon discovery of elevated cobalamin levels

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Note that 8 mg at 5 mg/mL concentration requires drawing 160 units (1.6 mL), which exceeds a standard 1 mL insulin syringe

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It must be administered intravenously by trained healthcare professionals with appropriate cardiac monitoring

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