The derived microorganisms are processed and kept for maturation to get vitamin b12
Because these are compounded formulations rather than FDA-approved manufactured drugs, exact concentrations vary by compounding pharmacy there is no single standardized MIC formula
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[6] If this happens, vitamin B 12 deficiency may result in sense loss, loss of sensation in the feet, difficulty walking, poor balance, blurred vision, changes in reflexes, muscle weakness, decreased smell and taste, decreased level of consciousness, mood changes, memory loss, depression, irritability, clumsiness, disorientation, dementia and, in severe cases, psychosis