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*Journal of Clinical Endocrinology & Metabolism*, 96(7), 1911-1930

The nerve can be compressed by a herniated disc, bone spur, piriformis muscle tightness, or narrowed spinal canal

If results remain unexplained, particularly with very high levels, further investigation may include imaging or haematology referral depending on clinical context and associated abnormalities

TIAMINAL B12 50,000 - Solucin inyectable Sustancia(s): Lidocana, Tiamina Hcl (vitamina B1), Vitamina B12 (cobalamina, Cianocobalamina, Hidroxocobalamina) Presentaciones: 1 Caja, 1 Frasco(s) mpula, 10 mL, 1 Caja , 5 Frasco(s) mpula , 2 ml FORMA FARMACUTICA Y FORMULACIN: Frasco mpula con 10 mL Cada mL contiene: Cianocobalamina (vitamina B12) 5,000 g Clorhidrato de tiamina (vitamina B1) 100 mg Clorhidrato de lidocana 1 mg Vehculo cbp 1 mL Cada frasco mpula contiene: Cianocobalamina (vitamina B12) 10,000 g Clorhidrato de tiamina (vitamina B1) 200 mg Clorhidrato de lidocana 2 mg Vehculo cbp 2 mL INDICACIONES TERAPUTICAS: TIAMINAL B12 50,000 est indicado en la prevencin y/o tratamiento de la deficiencia por aumento de los requerimientos diarios o por una ingesta deficiente de las vitaminas contenidas en su frmula

If someone with a known B12 deficiency develops persistent anemia, elevated white blood cell (WBC) counts, or noticeable lymph node enlargement, it is important to consider the possibility of an underlying hematologic malignancy and seek prompt medical evaluation

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