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These symptoms may suggest inadequate B12 replacement, concurrent iron or folate deficiency, or alternative haematological conditions requiring investigation

It is derived from the 176-191 amino acid sequence of human growth hormone (hGH), retaining the fat metabolism activity while eliminating the function of promoting growth

IGF-1 elevations followed, increasing 1.5 to 3-fold for 9 to 11 days after a single dose

Also, IM is not necessary at all, as B12 has a long, documented history of effective SQ delivery

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