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This condition is called vitamin B12 deficiency anemia
But as a consumer, knowing the basis for the BUD helps you understand whether you are working with a conservatively dated product that likely has a longer practical shelf life, or a product with a BUD that represents the actual stability limit of that specific formulation
Hathaway JT, Shah MP, Hathaway DB, Zekavat SM, Krasniqi D, Gittinger JW, et al
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If your vial uses a different system, you need a reliable conversion for that specific label before the arithmetic will be meaningful