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In Canada, provincial and federal governments negotiate drug prices with pharmaceutical companies, which often results in lower costs than the US, where market forces play a more significant role

Methylcobalamin : An active form that doesn't require conversion, though evidence for superiority over cyanocobalamin in UK clinical practice is limited

It could be a sign of low B12 levels

Within one visit or one follow-up, once the diagnostic workup is complete

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Therapy continues as long as positive changes occur and is adjusted or discontinued if plateaus develop or goals are achieved