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Compounded medications are prepared by licensed pharmacies and are not reviewed by the FDA in the same way as commercially manufactured drugs

Vitamin B12 (hydroxocobalamin, cyanocobalamin): advise patients with known cobalt allergy to be vigilant for sensitivity reactions

Any animal-model protocol should include defined humane endpoints, veterinary oversight, and IACUC or equivalent ethics-committee approval before initiation

If neurological symptoms are present, this represents an urgent situation requiring immediate treatmentdo not delay seeking medical attention, as permanent neurological damage may occur without prompt treatment

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