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Offered in a lyophilized powder form, they are typically used in research to their effects on fat storage and energy utilization in cells

Confirms no viable microorganisms are present - going beyond sterile filtration alone

The secondary outcomes will be the serum vitamin B12 concentration (pg/ml), adverse events (description, moment of onset and resolution, intensity, cause, steps taken), adherence to treatment (measured at each patient visit via the number of vials used for patients in the oral arm, and the number of injections given in the intramuscular arm), quality of life (measured using the EuroQoL-5D questionnaire), and patient satisfaction and preferences

22 This is most easily obtained through a prenatal vitamin