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25 Repeat Testing : Repeat testing of B 12 may be warranted after a trial of therapy or as an assessment of adherence

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Concurrent administration with cysteine or N-acetylcysteine enhances hepatic sulfate production, which could alter acetaminophen metabolism and should be considered when treating patients with chronic pain requiring frequent analgesia

Before receiving folic acid or cyanocobalamin, patients should be assessed for deficiency and appropriate therapy started concurrently

The patients suitability is a key factor as is the expertise of the professional performing the treatments