When the FDA declared a shortage in 2022, pharmacies were allowed to make compounded versions of the drugs to meet demand
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For suspected macro-B12, precipitation with PEG is the test most often reached for, though it is nonspecific and can remove B12 that is fully available to cells, so direct measurement of the binding proteins, haptocorrin and transcobalamin, may be more informative when it is available
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doi: 10.3389/fimmu.2020.01818 167 YirmiyaR.GoshenI