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It is stable to autoclaving for short periods at 121C

1,2,6 The resultant abnormal erythropoiesis can trigger other notable abnormal laboratory findings, such as decreased haptoglobin levels, high lactate dehydrogenase levels, and elevated reticulocyte count

Still, larger studies, including patients from other parts of the world and a longer treatment period, are needed to validate methylcobalamins therapeutic effects in this subset of ALS patients, the authors noted.

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