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After an injection the serum B12 value rises quickly, well above the upper reference value (on average 150-700 pmol/L), followed by a slow decrease

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Synvisc contains hylan g-f 20, a cross-linked high molecular weight (6,000 kDa) formulation derived from rooster comb, while Euflexxa contains non-cross-linked intermediate molecular weight (2,400-3,600 kDa) sodium hyaluronate derived from bacterial fermentation