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At present, the answer requires caution, context, and a clear-eyed view of the evidence ladder

The 503b pharmacies are regulated by the FDA, and some of them do contract manufacturing for pharmaceutical companies

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National Health and Nutrition Examination Survey data found that the normal serum MMA range for the 2.5th to 97.5th percentile of people 70 years, who were considered to be vitamin B12-replete and with normal kidney function, was 84 to 317 nmol/l (Mineva, 2019)