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ESR: The erythrocyte sedimentation rate (ESR) is a common hematology test to look for inflammation It refers to the rate at which your red blood cells in anticoagulated whole blood go down in a standardized tube over a period of one hour

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If the COA shows a molecular weight other than ~419.4 Da, the product is not SLU-PP-332

He continued to say that for people with B12 deficiency, parenteral supplementation (ie not through the mouth/digestive system) therefore is a useless and expensive treatment, and if you still want it the NHS should not pay for it, you should pay for it yourself