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Pernicious anemia is associated with an increased incidence of carcinoma of the stomach, but this is believed to be related to the underlying pathology and not to treatment with cyanocobalamin

This would allow licensed pharmacies to prepare these substances under physician supervision, with proper quality control, for individual patients
"Well you're asking a very difficult question because you've got to see what you get the first time around and you may have to do some more, you may have to adjust it," he said

Elevation of Serum Cystathionine Levels in Patients with Cobalamin and Folate Deficiency
