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It may be used by licensed healthcare professionals in clinical situations involving vitamin B12 deficiency or related conditions

Its a modifier on top of the main calculation, not a separate major factor

Types & Formulations Standard Cyanocobalamin Injection: The most widely prescribed B12 injection for B12 replacement

This is important as increased lactic acid in the body can result in fatigue, low blood pressure, muscle aches, a drop in body temperature, and respiratory problems.
