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Manufacturing Standards and Safety Considerations Licensed 503A compounding pharmacies operate under FDA oversight and state pharmacy regulations, ensuring quality control through USP standards, sterility testing, and documented chain-of-custody procedures

In certain regions of the world, marginal or subclinical vitamin B 12 deficiency may be fairly common in other age groups as well, including children, premenopausal women, and pregnant women, primarily due to low intake of animal-source foods (reviewed in 5)