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Fractures, severe sprains, acute ligament tears, and other traumatic injuries require evaluation and treatment by qualified medical professionals

[148] According to the vial labels, each vial contains five 0.3 mL doses, however excess vaccine may be used for one, or possibly two, additional doses

If a substance is not included, it generally cannot be used for routine compounding

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And so, without any Intrinsic Factor to bind to food, they are unable to extract any B12