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Product Specifications Brand Name: Mecomax-Plus Manufacturer: Max Pharma Composition: Mecobalamin, Nicotinamide, and Vitamin B Form: Injection (Liquid) Packaging: 1 x 2 ml Ampoule (Dispo Blister Pack) Administration: Intramuscular (IM) or Intravenous (IV) use only

Intrinsic factor antibodies : Highly specific for pernicious anaemia but moderate sensitivity (positive in approximately 50-70% of cases)

High B12 from supplements or injections rarely causes concern

Vitamin B12 Forms in Food In foods the most common vitamin B12 forms are: Adenosylcobalamin and hydroxocobalamin are the most frequently occurring forms in meat, whilst methylcobalamin is especially found in dairy

This could indicate product that never contained properly bound copper, or degradation that caused copper dissociation before reconstitution