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Red or purple chromaturia is a side effect of hydroxocobalamin, typically resolving over several weeks.2 Additional causes of red urine include blood (e.g., traumatic catheterization, malignancy, infection), dietary ingestion (e.g., beets), and medications (e.g., rifampin, phenothiazines).3 Although benign and not warranting further evaluation by itself, hydroxocobalamin-induced discolouration of body fluids may interfere with colorimetric sensors

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Insurance note: These are generic, inexpensive ($4-15/month)

Adaptation phase (after 23 months): For most people, the digestive system begins to adapt

The fact that you are only charged if prescribed removes the risk of paying for a consultation that goes nowhere