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The clearest test is whether acidification resolves the cloud

[99] A person with cobalamin C disease, a rare autosomal, recessive, inheritance disease which results in combined methylmalonic aciduria and homocystinuria), [100] can be treated with intravenous or intramuscular hydroxocobalamin

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It is safe and life-saving when indicated: antenatal steroids significantly reduce breathing problems (respiratory distress syndrome), brain bleeds, and newborn death in preterm babies (Cochrane) Your doctor decides if and when you need it