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49 Other symptoms related to cobalamin deficiency are elevated lactic dehydrogenase levels, mechanical hemolysis, thrombocytopenia, intravascular coagulation thrombosis, low reticulocyte count, vasoconstriction, and renal and pulmonary vasculopathy

Many want to avoid injections or may prefer the convenience of a daily pill

They verify the peptide sequence by HPLC and mass spectrometry, certify the tripeptide purity, and ship the product without ever confirming whether the copper is actually bound