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A full medical evaluation is required to determine candidacy, review contraindications, and ensure proper dosing and monitoring

This step is crucial for maintaining sterility and preparing the vial for the reconstitution procedure

Vegans and vegetarians : This group is at a higher risk of B12 deficiency because this vitamin is mainly found in animal products

This has made it standard in muscle cell culture, cancer cell biology, and various other in vitro settings

Nevertheless, it seems that other compensation mechanisms play a role in the hemostasis of these elements, as serum concentration of zinc and selenium are in normal range in our patients during the later follow up