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No obvious systemic adverse reactions were observed in tested animals even at a relatively high daily dose up to 60 mg/kg/d, confirming its promising safety profile and therapeutic efficacy for prospective ovarian cancer treatment

To overcome these constraints, we propose that future prospective studies implement three key strategies: (1)Systematic collection of dietary and supplemental B12 data using standardized instruments such as food frequency questionnaires

Do not wait for routine labs Severe muscle pain, dark urine, chest pain, fainting, confusion, or severe weakness needs medical review

Patients working with telehealth providers and licensed compounding pharmacies have accessed these formulations at different price points and in customized concentrations that the commercial product does not offer