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2017 Sep;153(3):723-731.e1

If it's not clear or contains suspended particles, do not use it and return for replacement

What that means isnt always straightforward: In the Swiss study mentioned above, nearly three-quarters of primary-care docs surveyed reported using a multi-step approach (and not always the same one) when testing for B12 deficiencya practice that Miller says improves the odds of an accurate diagnosis since serum B12 levels alone dont always accurately identify a deficiency

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Certification programs provide independent analysis of supplement products for athletes, military members, and other drug-tested professionals, reducing, but not eliminating, the risk of unintentional banned substance exposure