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Garca-Fernndez M, Castilla-Cortzar I, Daz-Sanchez M et al (2005b) Antioxidant effects of insulin-like growth factor-I (IGF-I) in rats with advanced liver cirrhosis

These values provide a safer framework for symptomatic people who fall within the lower end of the vitamin B12 normal range (200500 pg/mL)

In UK practice, monitoring is primarily based on clinical response rather than routine blood tests, as post-treatment serum B12 measurements can be misleadingly high and may not reflect tissue levels
