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In France, treatment involves the administration of 1,000 g (1 mg) of cyanocobalamin per day for 1 week, followed by 1,000 g (1 mg) per week for 1 month, followed by 1,000 g (1 mg) per month, again, normally for the remainder of the patients lifetime [10]

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Do I need to let the vial warm to room temperature before reconstituting

The deficiency affects the central nervous system by causing neuropathy, a result of hypomethylation due to a lack of methionine synthase