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Ingredients Cyanocobalamin Concentration: 1000 mcg/mL and 100 mcg/mL Product Information Rubramin PC Description Rubramin PC (Cyanocobalamin) Contraindications This preparation is contraindicated in patients who are sensitive to cobalt and/or vitamin B12

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In sum: Shiitake mushrooms, fermented foods, and certain sea vegetables naturally contain some vitamin B12

Sublingual administration, offering a balance of efficacy, accessibility, and compliance, emerges as a promising approach for routine clinical use

We can start based on your symptoms and history, and well discuss whether lab testing makes sense for you