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The Twin Rivers story began in February 2018 with a renovated classic 1975 Airstream, a mobile business plan, and a prayer

16 Elevated serum B12 is around 1000 100 ng/L (738 73.8 pmol/L)

The capsule formulation offers researchers advantages over powder form including reduced exposure risk, better handling characteristics and more consistent experimental parameters

Although nerve conduction studies or somatosensory evoked potentials can identify abnormalities when the spinal MRI appears normal, their clinical utility in elderly patients is limited, and prompt empirical treatment with vitamin B12 is generally preferable to invasive diagnostic testing