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It is important to note that whilst B12 deficiency can cause nerve pain, not all nerve pain is caused by B12 deficiency

It contains a cyano (cyanide) group in its structure, which makes it more stable than other forms of vitamin B12 as the cyanide stabilizes the molecule from deterioration

Yet, the available data does not suggest whether microdosing 5-amino-1MQ may have any potential benefits related to its safety and effectiveness

Sealed vials

Otherwise, use the appropriate Q-code or J9035 variant for biosimilar products per current CMS guidance

8 Where results are unclear, serum MMA and homocysteine levels (both of which accumulate with B12 deficiency as discussed above) can also be used to confirm a diagnosis, although homocysteine is not specific to B12 deficiency, as it may also be caused by deficiencies in other B vitamins