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Methylcobalamin appears in many nutraceutical products

There is still not enough human safety data

Different from plain sterile water because it contains a bacteriostatic preservative Bacteriostatic Preservative Often used when a product requires mixing from a lyophilized powdered or concentrated form from within a vial

Thai customs can and do seize unidentified biological compounds, and if a package is stopped, there is no legal basis to claim it

To account for these variations, a full calendar year was selected as the measure's performance period, to allow time to capture seasonal variations in the reported outcomes and allow hospitals and health systems sufficient time to analyze data and implement quality improvement efforts

Under standard review timelines of 6-10 months, regulatory approval could come shortly after